Organization Active NPI

Pioneer Healthcare Group, Inc.

Doing business as Pioneer Health Care

  • Skilled Nursing Facility
  • Rocky Ford, CO
National Provider Identifier
1912055997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1039 Issued in CO
Legal business name
PIONEER HEALTHCARE GROUP, INC.
Doing business as
Pioneer Health Care
Practice address
900 S 12TH St
Rocky Ford, CO 81067-2128
Phone
(719) 254-3314
Fax
(719) 254-3499
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christin Johnson Rose
Title
President
Phone
(423) 478-5953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1039 CO Primary

Addresses

Primary practice location

900 S 12TH St
Rocky Ford, CO 81067-2128

Mailing address

900 S 12TH St
Rocky Ford, CO 81067-2128
Phone (719) 254-3314

Other names 1

  • Pioneer Health Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912055997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S 12TH ST",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810672128",
            "telephone_number": "719-254-3314",
            "fax_number": "719-254-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 12TH ST",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810672128",
            "telephone_number": "719-254-3314",
            "fax_number": "719-254-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTHCARE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "CHRISTIN",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-478-5953"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "1039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Ford, CO

Sources for this page

  • 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.