TERRY LAKE ASSISTED LIVING LLC
NPI 1720936164
Assisted Living Facility in Fort Collins, CO
- Organization
- Assisted Living Facility
About TERRY LAKE ASSISTED LIVING LLC
This page provides the complete NPI Profile along with additional information for Terry Lake Assisted Living Llc, a provider established in Fort Collins, Colorado operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1720936164 assigned on March 2026. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Christopher Eric Shenk Md (Owner/operator/administrator)
- NPI
- 1720936164 Verify this NPI
- Provider Name
- TERRY LAKE ASSISTED LIVING LLC
- Entity Type
- Organization
- Location Address
- 3629 WOODRIDGE RD FORT COLLINS, CO 80524
- Location Phone
- (970) 313-0896
- Location Fax
- (970) 313-0896
- Mailing Address
- 709 KEENESBURG CT FORT COLLINS, CO 80525
- Mailing Phone
- (970) 313-0896
- Mailing Fax
- (970) 313-0896
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-20-2026
- Last Update Date
- 03-20-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720936164, enumerated as an "organization" on March 20, 2026.
The provider is located at 3629 WOODRIDGE RD FORT COLLINS, CO 80524 and the phone number is (970) 313-0896.
Assisted Living Facility with taxonomy code 310400000X.
