Wheatridge Manor Care Center

LBN: 33 Southmoor Properties, Inc
Wheatridge Manor Care Center is an health care organization with primary practice located at 2920 Fenton St , Wheat Ridge CO 80214-8116. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 33 Southmoor Properties, Inc can be contacted via phone (303) 238-0481, or through Koretke, Mary via phone (720) 974-6278.

Contact Information

Primary practice address
2920 Fenton St Wheat Ridge CO 80214-8116
Phone: (303) 238-0481
Fax: (303) 233-3775
Website:
Map and Directions
Authorized official contact:
Name: Koretke, Mary
Phone: (720) 974-6278

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 020436 Colorado

Profile Details

NPI number 1124485933
LBN Legal business name 33 Southmoor Properties, Inc
DBA Doing business as Wheatridge Manor Care Center
Authorized official Koretke, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2016
Last updated Jan 25th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124485933 NPPES
Colorado MEDICAID 34376020

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