Active NPI
Bethesda Gardens Grand Junction LLC
- Assisted Living Facility
- Grand Junction, CO
National Provider Identifier
1902489271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BETHESDA GARDENS GRAND JUNCTION LLC
- Practice address
- 2680 N 15TH St
Grand Junction, CO 81506-4101 - Phone
- (970) 241-9706
- Fax
- (970) 241-6855
- NPI assigned
- May 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Wilson
- Title
- Accounting Manager
- Phone
- (719) 481-0100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2680 N 15TH St
Grand Junction, CO 81506-4101
Mailing address
15475 Gleneagle Dr
Colorado Springs, CO 80921-2596
Phone (719) 481-0100
Other names 1
- Grand Villa
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2229161 | Grand Villa Assisted Living | Certificate of waiver | Jul 6, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620086400000",
"number": "1902489271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15475 GLENEAGLE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809212596",
"telephone_number": "719-481-0100",
"fax_number": "719-488-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 N 15TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815064101",
"telephone_number": "970-241-9706",
"fax_number": "970-241-6855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHESDA GARDENS GRAND JUNCTION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-04",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "ACCOUNTING MANAGER",
"authorized_official_telephone_number": "719-481-0100"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grand Villa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.