NPIMap

Organization Active NPI

Gunnison Valley Health Senior Care Center

  • Respite Care
  • Gunnison, CO
National Provider Identifier
1851834725
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
020999 Issued in CO
Legal business name
GUNNISON VALLEY HEALTH SENIOR CARE CENTER
Doing business as
Gunnison Valley Health Respite
Practice address
1500 W Tomichi Ave
Gunnison, CO 81230-3711
Phone
(970) 641-0704
Fax
(970) 641-1826
NPI assigned
Nov 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Mr. Wade Baker Jr.
Title
VP of Operations
Phone
(970) 642-4807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 020999 CO Primary

Addresses

Primary practice location

1500 W Tomichi Ave
Gunnison, CO 81230-3711

Mailing address

1500 W Tomichi Ave
Gunnison, CO 81230-3711
Phone (970) 641-0704

Other names 1

  • Gunnison Valley Health Respite Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gunnison Valley Health Senior Care Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1851834725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W TOMICHI AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812303711",
            "telephone_number": "970-641-0704",
            "fax_number": "970-641-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W TOMICHI AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812303711",
            "telephone_number": "970-641-0704",
            "fax_number": "970-641-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNISON VALLEY HEALTH SENIOR CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "970-642-4807",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CO",
            "license": "020999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gunnison Valley Health Respite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gunnison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.