NPIMap

Organization Active NPI

Gunnison Valley Health Senior Care Center

  • Inpatient Hospice
  • Gunnison, CO
National Provider Identifier
1881627644
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
1178 Issued in CO
Legal business name
GUNNISON VALLEY HEALTH SENIOR CARE CENTER
Practice address
1498 W Tomichi Ave
Gunnison, CO 81230-3703
Phone
(970) 641-4254
Fax
(970) 641-1826
NPI assigned
Jul 7, 2006
Organization subpart
Yes
Parent organization
GUNNISON VALLEY HEALTH SENIOR CARE CENTERAs reported in NPPES

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. J Wade Baker
Title
Administrator
Phone
(970) 641-0704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X 1178 CO Primary

Addresses

Primary practice location

1498 W Tomichi Ave
Gunnison, CO 81230-3703

Mailing address

1498 W Tomichi Ave
Gunnison, CO 81230-3703
Phone (970) 641-4254

Other names 1

  • Gunnison Valley Health Hospice & Palliative Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120315000233 CO Part A Provider - Hospice 5991831877 Practice locations: Gunnison, CO

Hospice certification: CCN 061537

Legal name
GUNNISON VALLEY HEALTH SENIOR CARE CENTER
Doing business as
GUNNISON VALLEY HEALTH HOSPICE & PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 17, 1996
Last certification
Feb 18, 2021
Ownership / control type
Government - County
Organization structure
OtherNon-profit
Enrollment address
1498 W Tomichi Ave
Ste B
Gunnison, CO 81230-3703

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Gunnison Valley Health Hospice and Palliative CareCCN 061537 · All quality measures
Ownership
Non-Profit
Certified
May 17, 1996
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1075163Gunnison Valley Health Hospice1498 W Tomichi Ave Ste B, Gunnison, CO 81230Certificate of waiverOct 14, 2027

National Provider Directory

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

Other organizations with this tax ID 3

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

805 W Tomichi Ave
Ste C
Gunnison, CO 81230
Phone (970) 641-4254

1498 W Tomichi Ave
Ste B
Gunnison, CO 81230
Phone (970) 641-4254

120 N Boulevard St
Gunnison, CO 81230
Phone (970) 641-4254

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

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Emily McMahill Individual Corporate DirectorBoard Trustee Feb 1, 2025
Jason C Amrich Individual Corporate OfficerCeo Dec 6, 2021
Marla Covey Individual Corporate DirectorBoard Trustee Feb 1, 2014
Marla Hutchison Crockett Individual Corporate DirectorBoard Trustee Feb 1, 2023
County of Gunnison Organization, Gunnison, CO 5% Or Greater Direct Ownership Interest Dec 1, 1994 100%
Mark Kaufman Individual Corporate DirectorBoard Trustee Feb 1, 2022
Bruce Alpern Individual Corporate DirectorBoard Trustee Oct 1, 2012
Joseph Baker Individual Corporate OfficerVP of Operations Oct 16, 2013
Operational/Managerial ControlVP of Operations Oct 16, 2013
Donald Haver Individual Corporate DirectorBoard Trustee Feb 1, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • County of Gunnison
    • Public Health & General Preventive Medicine Physician
    • Gunnison, CO
    • NPI 1942366612

    5% Or Greater Direct Ownership Interest

    CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Home Health and HospiceGunnison, CO, CCN 067191 Home health agency 5% Or Greater Direct Ownership Interest Dec 29, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1881627644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 W TOMICHI AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812303703",
            "telephone_number": "970-641-4254",
            "fax_number": "970-641-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 W TOMICHI AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812303703",
            "telephone_number": "970-641-4254",
            "fax_number": "970-641-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNNISON VALLEY HEALTH SENIOR CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUNNISON VALLEY HEALTH SENIOR CARE CENTER",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "970-641-0704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "CO",
            "license": "1178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gunnison Valley Health Hospice & Palliative Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gunnison, CO

Sources for this page

Verify at the official NPI Registry.