DIVERSICARE OF CANON CITY
NPI 1497134456
Skilled Nursing Facility in Canon City, CO

Active since May 23, 2015
515 FAIRVIEW AVE, CANON CITY, CO 81212(719) 275-0665(615) 620-7875 Get Directions Write a Review

NPPES record last updated: May 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Diversicare Of Canon City NPPES

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

DIVERSICARE OF CANON CITY (NPI 1497134456) is a healthcare organization registered as a skilled nursing facility in Canon City, Colorado and active in the NPI registry since May 2015. The organization lists Kelly J Gill, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1497134456
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDIVERSICARE OF CANON CITY, LLC
Location Address515 FAIRVIEW AVECanon City, CO 81212-2863
Mailing Address515 Fairview AveCanon City, CO 81212-2863 · (719) 275-0665 · Fax (615) 620-7875
Fax(615) 620-7875
Organization SubpartYesParent: Diversicare Leasing Company Ii, Llc
Authorized OfficialKelly J GillPresident & Ceo · (615) 771-7575
Enumeration DateMay 23, 2015
NPI 1497134456 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.

515 FAIRVIEW AVE, Canon City, CO 81212

Other Names 1

Doing Business AsDiversicare Of Canon City

Other Providers at the Same Location NPPES 13

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

Occupational Therapist
515 FAIRVIEW AVE
CANON CITY, CO 81212
Speech-Language Pathologist
515 FAIRVIEW AVE
CANON CITY, CO 81212
Social Worker (Clinical)
515 FAIRVIEW AVE
CANON CITY, CO 81212
Skilled Nursing Facility
515 FAIRVIEW AVE
CANON CITY, CO 81212
Respite Care
515 FAIRVIEW AVE
CANON CITY, CO 81212
Skilled Nursing Facility
515 FAIRVIEW AVE
CANON CITY, CO 81212
Respite Care
515 FAIRVIEW AVE
CANON CITY, CO 81212
Specialist/Technologist (Speech-Language Assistant)
515 FAIRVIEW AVE
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 Diversicare Of Canon City, LLC's NPI number?

The NPI number for Diversicare Of Canon City, LLC is 1497134456. It was assigned to this organization in the NPPES registry on May 23, 2015. The provider is doing business as Diversicare Of Canon City.

Where is Diversicare Of Canon City, LLC located?

Diversicare Of Canon City, LLC is located at 515 Fairview Ave, Canon City, CO 81212. The listed phone number is (719) 275-0665.

What is Diversicare Of Canon City, 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 Diversicare Of Canon City, LLC was last updated on May 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.