MEDICARE: RACHEL M ROBERTSON

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
1	310400000X	Assisted Living Facility	23Y394	CO

General Provider Information

NPI Number	:	1811820418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL M ROBERTSON

Provider Business Mailing Address
First Line	:	6974 RALEIGH ST
Second Line	:
City	:	WELLINGTON
State	:	CO
Zip	:	80549-2264
Country	:	US
Telephone Number	:	970-482-2215
Fax Number	:	970-484-8887

Provider Business Practice Location Address
First Line	:	2401 TURNBERRY RD
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4616
Country	:	US
Telephone Number	:	970-482-2215
Fax Number	:	970-484-8887

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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