Rio Grande Inn, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RIO GRANDE INN, INC.

Practice address

39 Calle Miller
La Jara, CO 81140-9756

Phone

(719) 274-3311

Fax

(719) 274-3317

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Luciana Singer

Title

Management

Phone

(970) 516-1404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1962736561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E MAIN ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213326",
            "telephone_number": "970-516-1404",
            "fax_number": "970-516-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CALLE MILLER",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "811409756",
            "telephone_number": "719-274-3311",
            "fax_number": "719-274-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE INN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "LUCIANA",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "970-516-1404",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75825571",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Edgar McWilliams, D.O.
• Mindcare Solutions PC
• Shannon Laurie Muniz, FNP
• Donna Nelson, MD
• Rio Grande Inn, Inc.
• Rio Grande Rehabilitation and Healthcare Center LLC
• Rio Grande Rehabilitation and Healthcare Center LLC
• Ethan Saffer
• Jantil Maria Salcido, RDH
• San Luis Valley Community Mental Health Center

• All providers in La Jara, CO
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.