EVERGREEN GARDENS AT LA JUNTA
NPI 1639130727
Assisted Living Facility in La Junta, CO

Active since March 29, 2006
909 W 10TH ST, LA JUNTA, CO 81050(719) 384-9333(719) 384-9393 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Gardens At La Junta NPPES

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

EVERGREEN GARDENS AT LA JUNTA (NPI 1639130727) is a healthcare organization registered as an assisted living facility in La Junta, Colorado and active in the NPI registry since March 2006. The organization lists Donald Kanen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639130727
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLA JUNTA LTC INVESTORS
Location Address909 W 10TH STLa Junta, CO 81050-2168
Mailing Address2415 Mullins Ave, Suite 4Alamosa, CO 81101-4274 · (719) 589-2063 · Fax (719) 589-8891
Fax(719) 384-9393
Organization SubpartNo
Authorized OfficialDonald KanenCfo · (719) 589-2063
Enumeration DateMarch 29, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1639130727 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-0239
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.
909 W 10TH ST, La Junta, CO 81050

Other Names 1

Doing Business AsEvergreen Gardens At La Junta

Other Identifiers 1

Medicaid03805565CO

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 La Junta Ltc Investors's NPI number?

The NPI number for La Junta Ltc Investors is 1639130727. It was assigned to this organization in the NPPES registry on March 29, 2006. The provider is doing business as Evergreen Gardens At La Junta.

Where is La Junta Ltc Investors located?

La Junta Ltc Investors is located at 909 W 10th St, La Junta, CO 81050. The listed phone number is (719) 384-9333.

What is La Junta Ltc Investors'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 La Junta Ltc Investors was last updated on August 22, 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.