SKYLINE RIDGE NURSING & REHAB
NPI 1467952705
Respite Care in Canon City, CO
About Skyline Ridge Nursing & Rehab NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SKYLINE RIDGE NURSING & REHAB (NPI 1467952705) is a healthcare organization registered as a respite care in Canon City, Colorado and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Katherine E Potter, President & Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 06D0518686
Skyline Ridge Nursing & Rehabilitation Center · Canon City, COOther Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CANON CITY, CO 81212
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 Five Star Quality Care-Colorado LLC's NPI number?
The NPI number for Five Star Quality Care-Colorado LLC is 1467952705. It was assigned to this organization in the NPPES registry on February 13, 2018. The provider is doing business as Skyline Ridge Nursing & Rehab.
Where is Five Star Quality Care-Colorado LLC located?
Five Star Quality Care-Colorado LLC is located at 515 Fairview Ave, Canon City, CO 81212. The listed phone number is (719) 275-0665.
What is Five Star Quality Care-Colorado LLC's specialty?
The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.
Does Five Star Quality Care-Colorado LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D0518686) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Five Star Quality Care-Colorado LLC was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Skyline Ridge Nursing & Rehab · NPI 1467952705
Respite Care organization in Canon City, Colorado. Organization record, active in the CMS NPPES registry since February 13, 2018.
## Identity
- **NPI:** 1467952705 (Entity type: Organization)
- **Enumerated:** February 13, 2018
- **Primary specialty:** Respite Care · taxonomy 385H00000X
- **Legal business name:** Five Star Quality Care-Colorado Llc
- **Organization subpart:** Yes (part of Five Star Quality Care-Colorado Llc)
- **Authorized official:** Katherine Potter, PRESIDENT & CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 515 FAIRVIEW AVE, Canon City, CO 81212-2863
- **Phone:** (719) 275-0665 · **Fax:** (716) 275-6225
## Record status
- **NPPES last updated:** March 26, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467952705) · Data from the CMS NPPES public registry.