8451 Pearl St Operating Company

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0353 Issued in CO

Legal business name

8451 PEARL ST OPERATING COMPANY

Practice address

8451 Pearl St
Thornton, CO 80229-4804

Phone

(303) 288-3000

NPI assigned

Dec 20, 2005

Organization subpart

No

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

Authorized official

Name

Stephen Marcus

Title

Company President

Phone

(717) 591-5700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902882178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 LENA DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8451 PEARL ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294804",
            "telephone_number": "303-288-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "8451 PEARL ST OPERATING COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "COMPANY PRESIDENT",
        "authorized_official_telephone_number": "717-591-5700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58053565",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.