Organization Active NPI

Colorado Senior Residences, Inc

Doing business as Casey's Pond Senior Living

  • Skilled Nursing Facility
  • Steamboat Springs, CO
National Provider Identifier
1851735542
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COLORADO SENIOR RESIDENCES, INC
Doing business as
Casey's Pond Senior Living
Practice address
2855 Owl Hoot TRL
Steamboat Springs, CO 80487-9160
Phone
(970) 879-8855
NPI assigned
Apr 24, 2013
Last updated
Apr 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Karl Gills, FACHE
Title
Chairman of the Board
Phone
(970) 846-4326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2855 Owl Hoot TRL
Steamboat Springs, CO 80487-9160

Mailing address

2855 Owl Hoot TRL
Steamboat Springs, CO 80487-9160
Phone (970) 879-8855

Other names 1

  • Casey's Pond Senior Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1851735542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 OWL HOOT TRL",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804879160",
            "telephone_number": "970-879-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 OWL HOOT TRL",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804879160",
            "telephone_number": "970-879-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SENIOR RESIDENCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "GILLS",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "970-846-4326",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casey's Pond Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.