Organization Active NPI

Hover Community, Inc.

Doing business as Beatrice Hover Assisted Living

  • Assisted Living Facility
  • Longmont, CO
National Provider Identifier
1790450682
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HOVER COMMUNITY, INC.
Doing business as
Beatrice Hover Assisted Living
Practice address
1380 Charles Dr
Longmont, CO 80503-2354
Phone
(303) 772-9292
NPI assigned
Aug 12, 2021
Last updated
Aug 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Holly Elizabeth Raymer, NHA
Title
Ceo
Phone
(303) 228-5140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1380 Charles Dr
Longmont, CO 80503-2354

Mailing address

1380 Charles Dr
Longmont, CO 80503-2354
Phone (303) 772-9292

Other names 1

  • Beatrice Hover Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2224318Beatrice Hover Assisted Living Residence1380 Charles Dr, Longmont, CO 80503Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1790450682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 CHARLES DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805032354",
            "telephone_number": "303-772-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 CHARLES DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805032354",
            "telephone_number": "303-772-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOVER COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "RAYMER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-228-5140",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beatrice Hover Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.