Ponderosa Care Communities A, Llc in Lakewood - Skilled Nursing Facility
Ponderosa Care Communities A, Llc - NPI 1770561755
Ponderosa Care Communities A, Llc is a Skilled Nursing Facility in Lakewood, Colorado. Ponderosa Care Communities A, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Ponderosa Care Communities A, Llc is 1770561755. The last update date is 2011-01-11.
Ponderosa Care Communities A, Llc's current location address is 12136 W Bayaud Ave, Lakewood, Colorado. You can contact this provider via phone number 3039873088 and fax number 3039870434. The mailing address for Ponderosa Care Communities A, Llc is 12136 W Bayaud Ave, Lakewood, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ponderosa Care Communities A, Llc |
|---|---|
| Address | 12136 W Bayaud Ave, Lakewood, Colorado |
| Phone Number | 3039873088 |
| Fax Number | 3039870434 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Koretke Mary |
| Telephone Number | 3039873088 |
NPI Number Detail
| NPI Number | 1770561755 |
|---|---|
| Provider Enumeration Date | 2006-01-09 |
| Last Updated Date | 2011-01-11 |
Provider Mailing Address Detail
| Address | 12136 W Bayaud Ave |
|---|---|
| City | Lakewood |
| State | Colorado (CO) |
| Post Code | 802282115 |
| Phone Number | 3039873088 |
| Fax Number | 3039870434 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 169 |
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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 |
|---|---|---|---|
| 26554739 | CO | -- |
Post Comment/ Review Below
What is the Ponderosa Care Communities A, Llc's 1770561755?
The Ponderosa Care Communities A, Llc's NPI (National Provider Identifier) Number is 1770561755. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ponderosa Care Communities A, Llc's physical address?
The Ponderosa Care Communities A, Llc is physically located at 12136 W Bayaud Ave, in the city of Lakewood, CO, with the postal code 802282115.
What is Ponderosa Care Communities A, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ponderosa Care Communities A, Llc's area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.
On what date did Ponderosa Care Communities A, Llc receive its 1770561755 assignment from the Centers for Medicare & Medicaid Services?
The Ponderosa Care Communities A, Llc was assigned its 1770561755 on 2006-01-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ponderosa Care Communities A, Llc most recently updated or refreshed?
The details pertaining to the Ponderosa Care Communities A, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-11.