State Of Colorado in Homelake - Skilled Nursing Facility
State Of Colorado - NPI 1114085875
State Of Colorado is a Skilled Nursing Facility in Homelake, Colorado. State Of Colorado practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for State Of Colorado is 1114085875. The last update date is 2021-07-12.
State Of Colorado's current location address is Po Box 97, Homelake, Colorado. You can contact this provider via phone number 7198525118 and fax number 7198523881. The mailing address for State Of Colorado is Po Box 97, Homelake, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Colorado |
|---|---|
| Address | Po Box 97, Homelake, Colorado |
| Phone Number | 7198525118 |
| Fax Number | 7198523881 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Montague Mindy |
| Telephone Number | 7198525118 |
NPI Number Detail
| NPI Number | 1114085875 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2021-07-12 |
Provider Mailing Address Detail
| Address | Po Box 97 |
|---|---|
| City | Homelake |
| State | Colorado (CO) |
| Post Code | 811350097 |
| Phone Number | 7198525118 |
| Fax Number | 7198523881 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 2023 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5653274 | CO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to State Of Colorado by the Centers for Medicare & Medicaid Services (CMS)?
The State Of Colorado has been assigned the NPI (National Provider Identifier) 1114085875. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of State Of Colorado?
The State Of Colorado is situated at Po Box 97, in the city of Homelake, state of CO, with the zip code 811350097.
What is the area of specialization for State Of Colorado, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Of Colorado is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
On what date was the 1114085875 assigned to State Of Colorado?
The State Of Colorado was issued its 1114085875 on 2006-12-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the State Of Colorado's details last updated?
The information pertaining to the State Of Colorado, including its address, specialty, and other details, was most recently updated on 2021-07-12.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN