Promedica Skilled Nursing And Rehabilitation (Boulder)

LBN: Manor Care Of Boulder Co, Llc
Promedica Skilled Nursing And Rehabilitation (Boulder) is an health care organization with primary practice located at 2800 Palo Pkwy , Boulder CO 80301-1540. 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. Manor Care Of Boulder Co, Llc can be contacted via phone (303) 440-9100, or through Allen, Martin D via phone (419) 252-5743.

Contact Information

Primary practice address
2800 Palo Pkwy Boulder CO 80301-1540
Phone: (303) 440-9100
Fax: (303) 440-9251
Website:
Map and Directions
Authorized official contact:
Name: Allen, Martin D
Phone: (419) 252-5743

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1295 Colorado

Profile Details

NPI number 1992742258
LBN Legal business name Manor Care Of Boulder Co, Llc
DBA Doing business as Promedica Skilled Nursing And Rehabilitation (Boulder)
Authorized official Allen, Martin D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Feb 9th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992742258 NPPES
Colorado MEDICAID 57405361

Popular Providers