Southwest Professional Properties, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL0865 Issued in CO

Legal business name

SOUTHWEST PROFESSIONAL PROPERTIES, INC

Doing business as

Vista Mesa Assisted Living

Practice address

1206 North Mildred Road
Cortez, CO 81321

Phone

(970) 395-0404

Fax

(970) 395-0606

NPI assigned

Oct 4, 2006

Last updated

Aug 22, 2020By 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

Stephen W Briscoe

Title

Vice President

Phone

(970) 395-0404

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VISTA MESA ASSISTED LIVING Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972699536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 336250",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80633",
            "telephone_number": "970-395-0404",
            "fax_number": "970-395-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 NORTH MILDRED ROAD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "81321",
            "telephone_number": "970-395-0404",
            "fax_number": "970-395-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PROFESSIONAL PROPERTIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRISCOE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "970-395-0404"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL0865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27903389",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISTA MESA ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Health System, Inc. (Southwest Memorial Physicians)
• Southwest Health System, Inc.
• Southwest Health System, Inc. (Southwest Memorial Ambulance)
• Southwest Internal Medicine PLLC
• Southwest Memorial Home Health
• Southwest Speech Therapy, LLC
• Speak Easy Speech Therapy LLC
• Balaji Srinivas, MD
• Opal Stalker, RN
• Leslie A Stanwix, DO

• Assisted Living Facility in Cortez, CO
• Providers in Cortez, CO by specialty
• Assisted Living Facility in Colorado

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.