COTTONWOOD RIDGE
NPI 1437110509
Assisted Living Facility in Rocky Ford, CO

Active since March 29, 2006CLIA 06D2238123 · Waiver
1122 S 12TH ST, ROCKY FORD, CO 81067(719) 854-3667(719) 254-3823 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cottonwood Ridge NPPES

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

COTTONWOOD RIDGE (NPI 1437110509) is a healthcare organization registered as an assisted living facility in Rocky Ford, Colorado and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Donald Kanen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1437110509
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOMMUNITY ASSISTED LIVING, INC
Location Address1122 S 12TH STRocky Ford, CO 81067-2400
Mailing Address2415 Mullins Ave, Suite 4Alamosa, CO 81101-4274 · (719) 589-2063 · Fax (719) 589-8891
Fax(719) 254-3823
Organization SubpartNo
Authorized OfficialDonald KanenCfo · (719) 589-2063
Enumeration DateMarch 29, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1437110509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in CO · AL-0001
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1122 S 12TH ST, Rocky Ford, CO 81067

Other Names 1

Doing Business AsCottonwood Ridge

Other Identifiers 1

Medicaid7173825CO

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2238123

Cottonwood Ridge Assisted Living · Rocky Ford, CO
Active · expires Sep 29, 2027
CLIA Number06D2238123
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorShayla Van Dyk
Laboratory Phone(719) 254-3667
Laboratory LocationCottonwood Ridge Assisted Living1122 S 12th St, Rocky Ford, CO 81067
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Community Assisted Living, Inc's NPI number?

The NPI number for Community Assisted Living, Inc is 1437110509. It was assigned to this organization in the NPPES registry on March 29, 2006. The provider is doing business as Cottonwood Ridge.

Where is Community Assisted Living, Inc located?

Community Assisted Living, Inc is located at 1122 S 12th St, Rocky Ford, CO 81067. The listed phone number is (719) 854-3667.

What is Community Assisted Living, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Community Assisted Living, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2238123) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Assisted Living, Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.