Peachtree Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PEACHTREE ASSISTED LIVING LLC

Practice address

3452 F Rd
Clifton, CO 81520-8433

Phone

(970) 434-7062

Fax

(970) 434-0485

NPI assigned

Oct 12, 2018

Last updated

Jan 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronnie Oribello

Title

Administrator/Owner

Phone

(970) 434-7062

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Peachtree Assisted Living 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.

• Peachtree Assisted Living LLC

  • Assisted Living Facility
  • Clifton, CO
  • NPI 1720553357
  NPD tax ID

Locations

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1811462153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 F RD",
            "city": "CLIFTON",
            "state": "CO",
            "postal_code": "815208433",
            "telephone_number": "970-434-7062",
            "fax_number": "970-434-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 F RD",
            "city": "CLIFTON",
            "state": "CO",
            "postal_code": "815208433",
            "telephone_number": "970-434-7062",
            "fax_number": "970-434-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "ORIBELLO",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "970-434-7062"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000143187",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mesa Developmental Services (Strive)
• Siona Motufau Jr., DDS
• Kelly Sue Orellana
• Peach Valley Family Medical Center, PC
• Peachtree Assisted Living LLC
• Pediatric Psychology Services of Colorado (Exploration Kids Therapy)
• Charles A Rademacher, DO
• Derek J Reynolds, PHARMD
• James Rice
• Donald A Simmons, LPC, LAC

• Assisted Living Facility in Clifton, CO
• Providers in Clifton, 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 Jan 28, 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.