Buckeye C, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BUCKEYE C, LLC

Doing business as

Riverdale Rehab and Care of Brighton

Practice address

2311 E Bridge St
Brighton, CO 80601-2547

Phone

(303) 659-2253

Fax

(303) 659-6334

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Koretke

Title

Director of Reimbursement

Phone

(720) 974-6278

Specialties & licenses 1

Addresses

Other names 1

• Riverdale Rehab and Care of Brighton Doing business as

Electronic endpoints 1

Tax ID family

Buckeye C LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Buckeye C, LLC

  dba Cottonwood Care Center

  • Skilled Nursing Facility
  • Brighton, CO
  • NPI 1497292593
  NPD tax ID

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1922738632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12136 W BAYAUD AVE STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282115",
            "telephone_number": "720-974-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012547",
            "telephone_number": "303-659-2253",
            "fax_number": "303-659-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "720-974-6278"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Brighton",
            "affiliation": "N",
            "endpointDescription": "SNF",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Brighton",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SNF",
            "address_1": "2311 E Bridge St",
            "city": "Brighton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "806012547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Riverdale Rehab and Care of Brighton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy J Brown
• Laura Elizabeth Brown
• Lisa Brown, CMT/LMT
• Lane Marie Bryant, PA-C
• Buckeye C, LLC (Cottonwood Care Center)
• Buckeye C, LLC (Riverdale Rehab and Care Community of Brighton)
• Buffalini Primary Care, LLC
• Michelle Buffalini, CRNP
• Kaydee Bullock, OTR/L
• Michelle Grace Tatko Bullock, M.A. CCC-SLP

• Skilled Nursing Facility in Brighton, CO
• Providers in Brighton, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.