Center at Park West, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CENTER AT PARK WEST, LLC

Practice address

St. Mary Corwin Medical Center
1008 Minnequa Avenue
Pueblo, CO 81004

Phone

(719) 900-1398

NPI assigned

May 8, 2020

Organization subpart

No

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

Authorized official

Name

Shawn Nakamura

Title

Manager

Phone

(719) 900-1398

Specialties & licenses 1

Addresses

Other names 1

• The Center at Park West Doing business as

Tax ID family

Center at Park West2 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.

• Center at Park West, LLC

  • Skilled Nursing Facility
  • Pueblo, CO
  • NPI 1407211931
  NPD tax ID

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1801418256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 KELLY JOHNSON BLVD STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203958",
            "telephone_number": "719-900-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. MARY CORWIN MEDICAL CENTER",
            "address_2": "1008 MINNEQUA AVENUE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81004",
            "telephone_number": "719-900-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER AT PARK WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "NAKAMURA",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-900-1398"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center at Park West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl A Cavalli, D.O.
• Miranda Cavin
• Timothy Joseph Cawlfield, M.D.
• Centennial Surgical Associates,PLLC
• Center at Park West, LLC
• Center at Parkview, LLC
• Center for Alternative Medicine, PLLC
• Center for Disabilities
• Center for Disabilities
• Center for Disabilities

• Skilled Nursing Facility in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.