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GRAND JUNCTION WELLAGE PACIFICA, LLC
NPI 1619566072
Assisted Living Facility in Grand Junction, CO

Active since January 11, 2021
2656 PATTERSON RD, GRAND JUNCTION, CO 81506(970) 822-4141(970) 245-0771 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Junction Wellage Pacifica, Llc NPPES

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

GRAND JUNCTION WELLAGE PACIFICA, LLC (NPI 1619566072), doing business as The Lodge At Grand Junction, is a healthcare organization registered as an assisted living facility in Grand Junction, Colorado and active in the NPI registry since January 2021. The organization lists Mary Koretke, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1619566072
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRAND JUNCTION WELLAGE PACIFICA, LLC
Location Address2656 PATTERSON RDGrand Junction, CO 81506-8820
Mailing Address2656 Patterson RdGrand Junction, CO 81506-8820 · (970) 822-4141 · Fax (970) 245-0771
Phone(970) 822-4141
Fax(970) 245-0771
Organization SubpartNo
Authorized OfficialMary KoretkeDirector Of Reimbursement · (720) 974-6278
Enumeration DateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
✔ NPI 1619566072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
2656 PATTERSON RD, Grand Junction, CO 81506
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Other Names 1

Doing Business AsThe Lodge At Grand Junction

Other Providers at the Same Location NPPES

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

SANDRA LEE KNOL
Occupational Therapist (Physical Rehabilitation)
2656 PATTERSON RD
GRAND JUNCTION, CO 81506
Mesa County (970) 298-7734

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 Grand Junction Wellage Pacifica, LLC's NPI number?

The NPI number for Grand Junction Wellage Pacifica, LLC is 1619566072. It was assigned to this organization in the NPPES registry on January 11, 2021. The provider is doing business as The Lodge at Grand Junction.

Where is Grand Junction Wellage Pacifica, LLC located?

Grand Junction Wellage Pacifica, LLC is located at 2656 Patterson Rd, Grand Junction, CO 81506. The listed phone number is (970) 822-4141.

What is Grand Junction Wellage Pacifica, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Grand Junction Wellage Pacifica, LLC was last updated on January 11, 2021. 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.