Rio Grande Inn, Inc.

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

RIO GRANDE INN, INC.

Practice address

39 Calle Miller
La Jara, CO 81140-9756

Phone

(719) 274-3311

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Luciana Singer

Title

Management

Phone

(970) 516-1404

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1902262009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CALLE MILLER",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "81140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CALLE MILLER",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "811409756",
            "telephone_number": "719-274-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE INN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "LUCIANA",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "970-516-1404",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68409575",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Andrew Martin
• Thomas Edgar McWilliams, D.O.
• Mindcare Solutions PC
• Shannon Laurie Muniz, FNP
• Donna Nelson, MD
• Rio Grande Inn, Inc.
• Rio Grande Rehabilitation and Healthcare Center LLC
• Rio Grande Rehabilitation and Healthcare Center LLC
• Ethan Saffer
• Jantil Maria Salcido, RDH

• All providers in La Jara, CO
• Respite Care in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.