Active NPI
Aspen Glen Inc.
- Mental Illness Community Based Residential Treatment Facility
- Grand Junction, CO
National Provider Identifier
1992905236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- AL-0498
- Legal business name
- ASPEN GLEN INC.
- Practice address
- 448 Bookcliff Dr
Grand Junction, CO 81501-2039 - Phone
- (970) 254-8403
- NPI assigned
- Jul 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lenard Macleod
- Title
- VP
- Phone
- (970) 210-6642
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | AL-0498 | CO | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | AL-0498 | CO | Primary |
Addresses
Primary practice location
448 Bookcliff Dr
Grand Junction, CO 81501-2039
Mailing address
448 Bookcliff Dr
Grand Junction, CO 81501-2039
Phone (970) 254-8403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42503752 | Medicaid | CO |
Other names 1
- Aspen Glen Assisted Living
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649116800000",
"number": "1992905236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 BOOKCLIFF DR",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012039",
"telephone_number": "970-254-8403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 BOOKCLIFF DR",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012039",
"telephone_number": "970-254-8403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPEN GLEN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-24",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A",
"authorized_official_last_name": "MACLEOD",
"authorized_official_first_name": "LENARD",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "970-210-6642"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "CO",
"license": "AL-0498",
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "CO",
"license": "AL-0498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42503752",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aspen Glen Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.