BOULDER MANOR
NPI 1912494568
Respite Care in Boulder, CO

Active since April 19, 2018
4685 BASELINE RD, BOULDER, CO 80303(303) 494-0535(303) 494-0162 Get Directions Write a Review

NPPES record last updated: April 19, 2018. 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 1912494568) is a healthcare organization registered as a respite care in Boulder, Colorado and active in the NPI registry since April 2018. The organization lists Ken Pitts, Director Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1912494568
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NameSSC BOULDER OPERATING COMPANY LLC
Location Address4685 BASELINE RDBoulder, CO 80303-2601
Mailing Address5300 W Sam Houston Pkwy N Ste 100Houston, TX 77041-5162 · (832) 467-6000
Fax(303) 494-0162
Organization SubpartYes
Authorized OfficialKen PittsDirector Reimbursement · (832) 467-6793
Enumeration DateApril 19, 2018
NPI 1912494568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
License Licensed in CO · 1285
4685 BASELINE RD, Boulder, CO 80303

Other Names 1

Doing Business AsBoulder Manor

Other Identifiers 1

Medicaid9000159952CO

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
Skilled Nursing Facility
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

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 1912494568. It was assigned to this organization in the NPPES registry on April 19, 2018. 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 Respite Care with taxonomy code 385H00000X.

When was this NPI record last updated?

The NPPES record for Ssc Boulder Operating Company LLC was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.