Boulder Operations Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BOULDER OPERATIONS HOLDINGS LLC

Practice address

544 Enterprise Dr
Lewis Center, OH 43035-9704

Phone

(937) 825-6622

NPI assigned

Feb 19, 2019

Last updated

Feb 19, 2019By 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

Paul Bergsten

Title

Manging Member

Phone

(937) 825-6622

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1871059428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 ENTERPRISE DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 ENTERPRISE DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359704",
            "telephone_number": "937-825-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER OPERATIONS HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "BERGSTEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANGING MEMBER",
        "authorized_official_telephone_number": "937-825-6622"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Bobrowski
• Molly Ruth Bochenek, LISW-SUPV
• Lynn Ann Bodie, LMT
• Kay E Born, OT
• Kirsten Nicole Borton, MSW,LSW
• Kathryn J Brammer
• Alison Brandt, M.ED., ED.S.
• Peyton Braun
• Ethan Briggs
• Anne Marie Brinkman, MD

• Skilled Nursing Facility in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.