12TH Street Operations, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

12TH STREET OPERATIONS, LLC

Doing business as

Pioneer Health Care Center

Practice address

900 S 12TH St
Rocky Ford, CO 81067-2128

Phone

(715) 254-3314

Fax

(719) 254-3499

NPI assigned

May 15, 2023

Last updated

Mar 2, 2025By 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

Amber M Hopkins

Title

Director of Ar-Colorado

Phone

(719) 661-0764

Specialties & licenses 1

Addresses

Other names 1

• Pioneer Health Care Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811688674. Details of each certification follow.

• CCN 066663 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 066663

Legal name

PIONEER HEALTH CARE CENTER

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Jul 18, 2025

Last certification

Jul 18, 2025

Ownership / control type

Proprietary

Facility address

900 S 12TH St
Rocky Ford, CO 81067

Tax ID family

12TH Street Operations 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.

• 12TH Street Operations, LLC

  dba Pioneer Health Care Center

  • Skilled Nursing Facility
  • Rocky Ford, CO
  • NPI 1346697471
  NPD tax ID

Locations

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740873600000",
    "number": "1811688674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26522 LA ALAMEDA STE 30026522",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916330",
            "telephone_number": "719-661-0764",
            "fax_number": "719-673-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 12TH ST",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810672128",
            "telephone_number": "715-254-3314",
            "fax_number": "719-254-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "12TH STREET OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF AR-COLORADO",
        "authorized_official_telephone_number": "719-661-0764"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pioneer Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 12TH Street Operations, LLC (Pioneer Health Care Center)
• Wendy S. Adrian, DPT
• American Medical Response of Colorado Inc (American Medical Response; AMR; MedTrans Ambulance)
• American Medical Response of Colorado Inc (American Medical Response; AMR; MedTrans Ambulance)
• Renee V Apodaca, LPC
• Arkansas Valley Regional Medical Center (Rural Health Clinic - Primary Care)

• Rehabilitation Clinic/Center in Rocky Ford, CO
• Providers in Rocky Ford, CO by specialty
• Rehabilitation Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.