NPIMap

Organization Active NPI

Foothills Gateway, Inc.

  • Case Manager/Care Coordinator
  • Fort Collins, CO
National Provider Identifier
1780214312
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
FOOTHILLS GATEWAY, INC.
Practice address
301 Skyway Dr
Fort Collins, CO 80525-3911
Phone
(970) 690-8126
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
Carla Conrardy
Title
Finance Director
Phone
(970) 266-5444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

301 Skyway Dr
Fort Collins, CO 80525-3911

Mailing address

301 Skyway Dr
Fort Collins, CO 80525-3911
Phone (970) 690-8126

Other identifiers 1

IdentifierTypeStateIssuer
45-770131MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Foothills Gateway Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1780214312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SKYWAY DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253911",
            "telephone_number": "970-690-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SKYWAY DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253911",
            "telephone_number": "970-690-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS GATEWAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "CONRARDY",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "970-266-5444"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45-770131",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.