Buckeye a, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0318 Issued in CO

Legal business name

BUCKEYE A, LLC

Doing business as

Autumn Heights Health Care Center

Practice address

3131 S. Federal Blvd
Denver, CO 80236-2713

Phone

(303) 761-0260

Fax

(303) 761-7088

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Jay Moskowitz, CPA

Title

President

Phone

(303) 238-3838

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Autumn Heights Health Care Center Doing business as

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1962493809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12136 W. BAYAUD AVENUE",
            "address_2": "SUITE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282115",
            "telephone_number": "303-238-3838",
            "fax_number": "303-987-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S. FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802362713",
            "telephone_number": "303-761-0260",
            "fax_number": "303-761-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE A, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "MOSKOWITZ",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-238-3838",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05656004",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Heights Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Buck Jack, LLC
• Dustin B Buck, DPT, PT
• Molly Buckel
• Whitney Scott Buckendorf
• Buckeye a, LLC
• Kacie Buckiewicz
• Edward Taylor Buckingham IV, MD
• Catherine Jean Buckland, RNC, MSN, WHNP
• Jennifer Buckley
• John Edward Buckley, MD

• Skilled Nursing Facility in Denver, CO
• Providers in Denver, 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 May 25, 2016; 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.