Blake Avenue Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLAKE AVENUE OPERATIONS, LLC

Practice address

2305 Blake Ave
Glenwood Springs, CO 81601-4325

Phone

(619) 876-9252

NPI assigned

May 27, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rachel Silver

Title

Consultant

Phone

(619) 876-9252

Specialties & licenses 1

Addresses

Tax ID family

Blake Avenue Operations LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Blake Avenue Operations, LLC

  dba Glenwood Springs Healthcare

  • Skilled Nursing Facility
  • Glenwood Springs, CO
  • NPI 1932556073
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1760830962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 PACIFICA",
            "address_2": "SUITE 203",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014325",
            "telephone_number": "619-876-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE AVENUE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "619-876-9252"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anil Shashikant Bhavsar, M.D.
• Emma Bielski, SWC
• Jason Michael Bienia, DDS
• Mark Anthony Bittles, MD
• Annika Bjorkman, SLP
• Blake Avenue Operations, LLC (Glenwood Springs Healthcare)
• Meghan E Blake, M.D.
• Megan Blaszak, MSW, SWC
• Rachel Blondell
• Makayla Bogema

• Assisted Living Facility in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.