Eben Ezer Lutheran Care Center

LBN: Eben Ezer Lutheran Care Center
Eben Ezer Lutheran Care Center is an health care organization with primary practice located at 122 Hospital Rd , Brush CO 80723-1702. 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. Eben Ezer Lutheran Care Center can be contacted via phone (970) 842-2861, or through Bradshaw, Barbara via phone (970) 842-2861.

Contact Information

Primary practice address
122 Hospital Rd Brush CO 80723-1702
Phone: (970) 842-2861
Fax: (970) 842-3148
Website:
Map and Directions
Authorized official contact:
Name: Bradshaw, Barbara Registered Nurse (RN)
Phone: (970) 842-2861

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0227 Colorado

Profile Details

NPI number 1407852981
LBN Legal business name Eben Ezer Lutheran Care Center
DBA Doing business as
Authorized official Bradshaw, Barbara Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Aug 22nd, 2020 - about 5 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 1407852981 NPPES
Colorado MEDICAID 05653365

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