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PARK FOREST CARE CENTER INC NPI 1215910674


NPI Information

NPI: 1215910674
Provider Name: PARK FOREST CARE CENTER INC
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization

CLIA Number: 06D0696160

Address:
7045 STUART ST
WESTMINSTER, CO
ZIP 80030
Phone: (303) 427-7045
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PARK FOREST CARE CENTER INC is an intermediate care facility mental illness in Westminster, CO. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. PARK FOREST CARE CENTER INC NPI is 1215910674. The provider is registered as an organization entity type.

The provider's business location address is:

7045 STUART ST
WESTMINSTER, CO
ZIP 80030-820
Phone: (303) 427-7045
Fax: (303) 427-0023

The provider's authorized official is Beverly Jean De La Garza .
The authorized official title is Nursing Home Administrator and has the following contact phone number (303) 427-7045.

The CLIA number assigned to this NPI record is 06D0696160 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310500000XIntermediate Care Facility, Mental IllnessYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105651757MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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