NPIMap

Organization Active NPI

The Gardens Care Homes Coyote Creek Memory Care

  • Assisted Living Facility
  • Fort Lupton, CO
National Provider Identifier
1770275489
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
THE GARDENS CARE HOMES COYOTE CREEK MEMORY CARE
Practice address
1102 4TH St
Fort Lupton, CO 80621-1738
Phone
(303) 566-1085
NPI assigned
May 22, 2023
Organization subpart
Yes
Parent organization
THE GARDENS CARE HOMES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Jennifer Conrad
Title
Owner
Phone
(303) 421-6539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1102 4TH St
Fort Lupton, CO 80621-1738

Mailing address

12650 W 64TH Ave # E172
Arvada, CO 80004-3893
Phone (303) 421-6539

National Provider Directory

National Provider Directory
Tax ID family
Belmar Acres23 organizations share this tax ID, including this one
Part of
Belmar Acres

Other organizations with this tax ID 22

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

View all 22

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1770275489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12650 W 64TH AVE # E172",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800043893",
            "telephone_number": "303-421-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 4TH ST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211738",
            "telephone_number": "303-566-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GARDENS CARE HOMES COYOTE CREEK MEMORY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE GARDENS CARE HOMES LLC",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-421-6539"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lupton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.