Monte Vista Estates, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

APPLIED FOR Issued in CO

Legal business name

MONTE VISTA ESTATES, LLC

Practice address

2277 East Dr
Monte Vista, CO 81144-9330

Phone

(719) 852-5138

Fax

(719) 852-4012

NPI assigned

Aug 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Kent M Emry

Title

Managing Member

Phone

(503) 689-1808

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1962801423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 EAST DR",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811449330",
            "telephone_number": "719-852-5138",
            "fax_number": "719-852-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 EAST DR",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811449330",
            "telephone_number": "719-852-5138",
            "fax_number": "719-852-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE VISTA ESTATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "EMRY",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "503-689-1808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Charles McMullen, PHARM.D., RPH.
• Ryan Jake Mellott, PT
• Mark J Mills, D.D.S.
• Monte Vista Community Ambulance Service
• Monte Vista Community Ambulance Service
• Monte Vista Eye Care Center Inc.
• Monte Vista Family Practice
• Monte Vista Investors, LLC
• MVPS LLC
• MVPS LLC

• Skilled Nursing Facility in Monte Vista, CO
• Providers in Monte Vista, 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 Sep 25, 2014; 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.