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NPI Code Detail

MEDICARE: EAGLE RIDGE HEALTHCARE LLC

MEDICARE: EAGLE RIDGE HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility
2385H00000XRespite Care

General Provider Information

NPI Number : 1235092834
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAGLE RIDGE HEALTHCARE LLC
Provider Business Mailing Address
First Line : 2425 TELLER AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-5141
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2425 TELLER AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-5141
Country : US
Telephone Number : 970-243-3381
Fax Number :
Authorized Official
Title or Position : SENIOR LEGAL/RISK MANAGER
Name : ALICIA TORRES-CEPEDA
Credential :
Telephone Number : 385-342-5175
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “EAGLE RIDGE HEALTHCARE LLC ” Practice Location

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