RED CANYON VILLAGE LLC
NPI 1689248882
Skilled Nursing Facility in Canon City, CO

Active since May 13, 2021
1338 PHAY AVE, CANON CITY, CO 81212(719) 245-1406 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Red Canyon Village Llc NPPES

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

RED CANYON VILLAGE LLC (NPI 1689248882), doing business as Progressive Care Center, is a healthcare organization registered as a skilled nursing facility in Canon City, Colorado and active in the NPI registry since May 2021. The organization lists Dean Kiklis, Member, as its authorized official.

NPPES Registry Identity

NPI1689248882
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameRED CANYON VILLAGE LLC
Location Address1338 PHAY AVECanon City, CO 81212-2311
Mailing Address2668 Northpark DrLafayette, CO 80026-3199 · (303) 952-9216
Organization SubpartNo
Authorized OfficialDean KiklisMember · (303) 952-9216
Enumeration DateMay 13, 2021
NPPES CertifiedMay 13, 2021
NPI 1689248882 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.

1338 PHAY AVE, Canon City, CO 81212

Other Names 1

Doing Business AsProgressive Care Center

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1338 PHAY AVE
CANON CITY, CO 81212
Skilled Nursing Facility
1338 PHAY AVE
CANON CITY, CO 81212
Dietitian, Registered
1338 PHAY AVE
CANON CITY, CO 81212
Occupational Therapist
1338 PHAY AVE, INPATIENT REHABILITATION
CANON CITY, CO 81212
Dietitian, Registered
1338 PHAY AVE
CANON CITY, CO 81212
Emergency Medicine
1338 PHAY AVE
CANON CITY, CO 81212
Nurse Practitioner
1338 PHAY AVE
CANON CITY, CO 81212
Nurse Practitioner (Family)
1338 PHAY 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 Red Canyon Village LLC's NPI number?

The NPI number for Red Canyon Village LLC is 1689248882. It was assigned to this organization in the NPPES registry on May 13, 2021.

Where is Red Canyon Village LLC located?

Red Canyon Village LLC is located at 1338 Phay Ave, Canon City, CO 81212. The listed phone number is (719) 245-1406.

What is Red Canyon Village 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 Red Canyon Village LLC was last updated on May 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.