Red Canyon Village LLC
NPI 1689248882ActiveOrganization· Skilled Nursing Facility· Canon City, CO
Skilled Nursing Facility in Canon City, Colorado, registered in NPPES in May 2021. The authorized official on file is Dean Kiklis, Member. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1689248882 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2021 |
| Last updated in NPPES | May 13, 2021 |
| Certified by provider | May 13, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CO) |
|---|
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