Pioneer Health Care Center

LBN: 12Th Street Operations, Llc
Pioneer Health Care Center is an health care organization with primary practice located at 900 S 12Th St , Rocky Ford CO 81067-2128. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. 12Th Street Operations, Llc can be contacted via phone (619) 876-9252, or through Silver, Rachel via phone (619) 876-9252.

Contact Information

Primary practice address
900 S 12Th St Rocky Ford CO 81067-2128
Phone: (619) 876-9252
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Silver, Rachel
Phone: (619) 876-9252

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1346697471
LBN Legal business name 12Th Street Operations, Llc
DBA Doing business as Pioneer Health Care Center
Authorized official Silver, Rachel
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2016
Last updated Feb 7th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346697471 NPPES
Colorado MEDICAID 33155071
Colorado MEDICAID 9000142633

Popular Providers