Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Poncha Moor Healthcare, Inc

Organization Alzheimer Center (Dementia Center) · NPI 1962326660

Poncha Moor Healthcare, Inc is an Alzheimer Center (Dementia Center) in Canon City, Colorado. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

515 Fairview Ave
Canon City, CO 81212-2863
Phone: (719) 275-0665
Fax: (719) 275-6225
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X
Alzheimer Center (Dementia Center) Taxonomy 311500000X

Record details

NPI number1962326660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soon Burnam — Secretary · (949) 540-1249
Other names Skyline Ridge Health And Rehabilitation
NPI enumeratedAugust 5, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address515 Fairview Ave, Canon City, CO 81212-2863

Other providers in Canon City