Organization Active NPI

Caley Ridge Operations, LLC

  • Assisted Living Facility
  • Englewood, CO
National Provider Identifier
1992292239
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CALEY RIDGE OPERATIONS, LLC
Practice address
9350 E Caley Ave
Englewood, CO 80111-5364
Phone
(303) 721-8900
NPI assigned
Apr 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Paul Dendy
Title
Manager
Phone
(360) 882-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9350 E Caley Ave
Englewood, CO 80111-5364

Mailing address

201 NE Park Plaza Dr Ste 105
Vancouver, WA 98684-5874

Other identifiers 1

IdentifierTypeStateIssuer
9000143423MedicaidCO

Other names 1

  • Caley Ridge Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1992292239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NE PARK PLAZA DR STE 105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 E CALEY AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801115364",
            "telephone_number": "303-721-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEY RIDGE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DENDY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-882-4500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000143423",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caley Ridge Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.