Shadow Mountain Management Corporation in Canon City - Skilled Nursing Facility
Shadow Mountain Management Corporation - NPI 1366430910
Shadow Mountain Management Corporation is a Skilled Nursing Facility in Canon City, Colorado. Shadow Mountain Management Corporation practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Shadow Mountain Management Corporation is 1366430910. The last update date is 2021-09-20.
Shadow Mountain Management Corporation's current location address is 1401 Phay Ave, Canon City, Colorado. You can contact this provider via phone number 7192758656. The mailing address for Shadow Mountain Management Corporation is 1401 Phay Ave, Canon City, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shadow Mountain Management Corporation |
|---|---|
| Address | 1401 Phay Ave, Canon City, Colorado |
| Phone Number | 7192758656 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Mcclain-Alleshouse Christina |
| Telephone Number | 7192758656 |
NPI Number Detail
| NPI Number | 1366430910 |
|---|---|
| Provider Enumeration Date | 2005-10-07 |
| Last Updated Date | 2021-09-20 |
Provider Mailing Address Detail
| Address | 1401 Phay Ave |
|---|---|
| City | Canon City |
| State | Colorado (CO) |
| Post Code | 812122303 |
| Phone Number | 7192758656 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 55 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5653571 | CO | -- | |
| 42337071 | CO | RESPITE PROVIDER NUMBER |
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What is the unique identification code assigned to Shadow Mountain Management Corporation by the Centers for Medicare & Medicaid Services?
The Shadow Mountain Management Corporation has been issued the NPI (National Provider Identifier) 1366430910. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shadow Mountain Management Corporation located?
The Shadow Mountain Management Corporation is located at 1401 Phay Ave, Canon City, CO 812122303.
What is Shadow Mountain Management Corporation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shadow Mountain Management Corporation is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
When did the Shadow Mountain Management Corporation receive its 1366430910?
The Shadow Mountain Management Corporation was issued its 1366430910 on 2005-10-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Shadow Mountain Management Corporation last refreshed?
The information related to the Shadow Mountain Management Corporation, including its address, specialty, and other relevant details, was last updated on 2021-09-20.