Organization Active NPI

Bethesda Gardens Grand Junction LLC

  • Assisted Living Facility
  • Grand Junction, CO
National Provider Identifier
1902489271
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on May 4, 2021

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)CodeLicenseStatePrimary
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 Doing business as

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
06D2229161Grand Villa Assisted Living2680 N 15TH Street, Grand Junction, CO 81506Certificate of waiverJul 6, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.