BOULDER CANYON HEALTH AND REHABILITATION
NPI 1346823739
Respite Care in Boulder, CO

Q: What is the provider's specialty?

The provider's specialty is Respite Care with taxonomy code 385H00000X.

Active since May 03, 2021

4685 BASELINE RD, BOULDER, CO 80303(303) 494-0535 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 1, 2021, May 3, 2021 (2 updates tracked since 2021).

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Respite Care

About BOULDER CANYON HEALTH AND REHABILITATION

This page provides the complete NPI Profile along with additional information for Boulder Canyon Health And Rehabilitation, a provider established in Boulder, Colorado operating as a Respite Care. The healthcare provider is registered in the NPI registry with number 1346823739 assigned on May 2021. The practitioner's primary taxonomy code is 385H00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Boulder Canyon Health And Rehabilitation. The authorized official of this NPI record is Soon Burnam (Treasurer)

NPI: 1346823739 Verify this NPI
Provider Legal Name: BASELINE HEALTHCARE INC.
Other Organization Name: BOULDER CANYON HEALTH AND REHABILITATION
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 4685 BASELINE RD BOULDER, CO 80303
Location Phone: (303) 494-0535
Mailing Address: 4685 BASELINE RD BOULDER, CO 80303
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-03-2021
Last Update Date: 12-01-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Respite Care
Taxonomy Code: 385H00000X
Type: Respite Care Facility

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: SOON BURNAM
Authorized Official Title: TREASURER
Authorized Official Phone: (949) 540-1249