NPIMap

Organization Active NPI

Ashley Manor, LLC

Doing business as Ashley Manor Evans I

  • Assisted Living Facility
  • Evans, CO
National Provider Identifier
1902305840
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ASHLEY MANOR, LLC
Doing business as
Ashley Manor Evans I
Practice address
1805 32ND St
Evans, CO 80620-3422
Phone
(208) 376-7298
Fax
(208) 376-7298
NPI assigned
Feb 6, 2018
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ASHLEY MANOR, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Mark Ellison
Title
Authorized Person
Phone
(120) 891-4313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1805 32ND St
Evans, CO 80620-3422

Mailing address

PO Box 1176
Meridian, ID 83680-1176

Other names 1

  • Ashley Manor Evans I Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ashley Manor LLC31 organizations share this tax ID, including this one
Part of
Ashley Manor LLC

Other organizations with this tax ID 30

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

View all 30

Locations

1805 32nd St
Evans, CO 80620
Phone (970) 346-9891

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1902305840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1176",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836801176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 32ND ST",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806203422",
            "telephone_number": "208-376-7298",
            "fax_number": "208-376-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY MANOR, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHLEY MANOR, LLC",
        "enumeration_date": "2018-02-06",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "120-891-4313"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley Manor Evans I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evans, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.