Fairacres Manor, Inc in Greeley - Skilled Nursing Facility

Fairacres Manor, Inc - NPI 1154300853

Fairacres Manor, Inc is a Skilled Nursing Facility in Greeley, Colorado. Fairacres Manor, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Fairacres Manor, Inc is 1154300853. The last update date is 2010-02-05.

Fairacres Manor, Inc's current location address is 1700 18th Ave, Greeley, Colorado. You can contact this provider via phone number 9703533370 and fax number 9703539347. The mailing address for Fairacres Manor, Inc is 1700 18th Ave, Greeley, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fairacres Manor, Inc
Address 1700 18th Ave, Greeley, Colorado
Phone Number 9703533370
Fax Number 9703539347
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Koretke Mary
Telephone Number 7209746278

NPI Number Detail

NPI Number 1154300853
Provider Enumeration Date 2006-01-11
Last Updated Date 2010-02-05

Provider Mailing Address Detail

Address 1700 18th Ave
City Greeley
State Colorado (CO)
Post Code 806315134
Phone Number 9703533370
Fax Number 9703539347

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 576
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
5653423 CO --

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FAQs about Fairacres Manor, Inc

What is the Fairacres Manor, Inc's 1154300853?

The Fairacres Manor, Inc's NPI (National Provider Identifier) Number is 1154300853. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Fairacres Manor, Inc is physically located?

The Fairacres Manor, Inc is situated at the following address: 1700 18Th Ave, Greeley, CO 806315134.

What is the Fairacres Manor, Inc's area of specialization and corresponding taxonomy classification?

The Fairacres Manor, Inc's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.

On what date did the Fairacres Manor, Inc receive its 1154300853 assignment from the Centers for Medicare & Medicaid Services?

The Fairacres Manor, Inc was assigned its 1154300853 by the Centers for Medicare & Medicaid Services on 2006-01-11.

When was the information pertaining to Fairacres Manor, Inc most recently updated or revised?

The details related to Fairacres Manor, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2010-02-05.

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