BOULDER MANOR
NPI 1609996560
Skilled Nursing Facility in Boulder, CO

Active since April 01, 2007
4685 BASELINE RD, BOULDER, CO 80303(303) 494-0535 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boulder Manor NPPES

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

BOULDER MANOR (NPI 1609996560) is a healthcare organization registered as a skilled nursing facility in Boulder, Colorado and active in the NPI registry since April 2007. The organization lists Kelle C Santoro, Sr Director Ar, as its authorized official.

NPPES Registry Identity

NPI1609996560
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSSC BOULDER OPERATING COMPANY LLC
Location Address4685 BASELINE RDBoulder, CO 80303-2601
Mailing Address5300 W Sam Houston Pkwy N, Suite 100Houston, TX 77041-5161 · (832) 467-6000
Organization SubpartNo
Authorized OfficialKelle C SantoroSr Director Ar · (832) 467-5728
Enumeration DateApril 1, 2007
Last NPPES UpdateNovember 11, 2020
NPPES CertifiedNovember 11, 2020
NPI 1609996560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CO · 1285
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.
4685 BASELINE RD, Boulder, CO 80303

Other Names 1

Doing Business AsBoulder Manor

Other Identifiers 1

Medicaid06934242CO

Other Providers at the Same Location NPPES 9

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

Physical Therapy Assistant
4685 BASELINE RD
BOULDER, CO 80303
Skilled Nursing Facility
4685 BASELINE RD
BOULDER, CO 80303
Respite Care
4685 BASELINE RD
BOULDER, CO 80303
Physical Therapist
4685 BASELINE RD
BOULDER, CO 80303
Social Worker (Clinical)
4685 BASELINE RD
BOULDER, CO 80303
Skilled Nursing Facility
4685 BASELINE RD
BOULDER, CO 80303
Physical Medicine & Rehabilitation
4685 BASELINE RD
BOULDER, CO 80303
Psychologist (Clinical)
4685 BASELINE RD
BOULDER, CO 80303

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 Ssc Boulder Operating Company LLC's NPI number?

The NPI number for Ssc Boulder Operating Company LLC is 1609996560. It was assigned to this organization in the NPPES registry on April 1, 2007. The provider is doing business as Boulder Manor.

Where is Ssc Boulder Operating Company LLC located?

Ssc Boulder Operating Company LLC is located at 4685 Baseline Rd, Boulder, CO 80303. The listed phone number is (303) 494-0535.

What is Ssc Boulder Operating Company 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 Ssc Boulder Operating Company LLC was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.