Canon Lodge Care Center

LBN: Colorado Medical Investors, Llc
Canon Lodge Care Center is an health care organization with primary practice located at 905 Harding Ave , Canon City CO 81212-2147. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Colorado Medical Investors, Llc can be contacted via phone (719) 275-4106, or through Cross, Cindy S via phone (423) 473-5867.

Contact Information

Primary practice address
905 Harding Ave Canon City CO 81212-2147
Fax: (719) 275-2895
Website:
Authorized official contact:
Name: Cross, Cindy S

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0418 Colorado
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1366450090
LBN Legal business name Colorado Medical Investors, Llc
DBA Doing business as Canon Lodge Care Center
Authorized official Cross, Cindy S
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Sep 15th, 2021 - about 4 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 1366450090 NPPES
Colorado MEDICAID 05652631

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