BUCKEYE M, LLC
NPI 1376182162
Skilled Nursing Facility in Boulder, CO

Active since December 27, 2019
2121 MESA DR, BOULDER, CO 80304(303) 442-4037(303) 442-2348 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Buckeye M, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUCKEYE M, LLC (NPI 1376182162), doing business as Mesa Vista Of Boulder, is a healthcare organization registered as a skilled nursing facility in Boulder, Colorado and active in the NPI registry since December 2019. The organization lists Mary Koretke, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1376182162
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBUCKEYE M, LLC
Location Address2121 MESA DRBoulder, CO 80304-3621
Mailing Address2121 Mesa DrBoulder, CO 80304-3621 · (303) 442-4037 · Fax (303) 442-2348
Fax(303) 442-2348
Organization SubpartNo
Authorized OfficialMary KoretkeDirector Of Reimbursement · (303) 238-3838
Enumeration DateDecember 27, 2019
NPI 1376182162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

2121 MESA DR, Boulder, CO 80304

Other Names 1

Doing Business AsMesa Vista Of Boulder

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2121 MESA DR
BOULDER, CO 80304
Physical Therapist
2121 MESA DR
BOULDER, CO 80304
Physical Medicine & Rehabilitation
2121 MESA DR
BOULDER, CO 80304
Physical Therapy Assistant
2121 MESA DR
BOULDER, CO 80304
Speech-Language Pathologist
2121 MESA DR
BOULDER, CO 80304
Skilled Nursing Facility
2121 MESA DR
BOULDER, CO 80304
Occupational Therapy Assistant
2121 MESA DR
BOULDER, CO 80304
Skilled Nursing Facility
2121 MESA DR
BOULDER, CO 80304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Buckeye M, LLC's NPI number?

The NPI number for Buckeye M, LLC is 1376182162. It was assigned to this organization in the NPPES registry on December 27, 2019. The provider is doing business as Mesa Vista of Boulder.

Where is Buckeye M, LLC located?

Buckeye M, LLC is located at 2121 Mesa Dr, Boulder, CO 80304. The listed phone number is (303) 442-4037.

What is Buckeye M, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Buckeye M, LLC was last updated on December 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.