NPIMap

Organization Active NPI

Rural Rest Homes LLC

  • Skilled Nursing Facility
  • Limon, CO
National Provider Identifier
1891904348
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
AL0217 Issued in CO
Legal business name
RURAL REST HOMES LLC
Practice address
1750 Circle Lane
Limon, CO 80828
Phone
(719) 775-9451
Fax
(719) 775-9455
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ric Hansen
Title
Operating Manager
Phone
(970) 221-4039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X AL0217 CO Primary

Addresses

Primary practice location

1750 Circle Lane
Limon, CO 80828

Mailing address

PO Box 158
Timnath, CO 80547
Phone (970) 481-8902

Other identifiers 1

IdentifierTypeStateIssuer
86929372MedicaidCO

Other names 1

  • Tender Care Village of Limon Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rural Rest Homes 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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891904348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "80547",
            "telephone_number": "970-481-8902",
            "fax_number": "866-881-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 CIRCLE LANE",
            "city": "LIMON",
            "state": "CO",
            "postal_code": "80828",
            "telephone_number": "719-775-9451",
            "fax_number": "719-775-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL REST HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "RIC",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "970-221-4039",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "AL0217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86929372",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Care Village of Limon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Limon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.