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SSC FORT COLLINS SPRING CREEK OPERATING COMPANY LLC NPI 1528591690


NPI Information

NPI: 1528591690
Provider Name: SSC FORT COLLINS SPRING CREEK OPERATING COMPANY LLC

Doing Business As: GARDEN SQUARE AT SPRING CREEK

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1000 E STUART ST
FORT COLLINS, CO
ZIP 80525
Phone: (970) 482-5712
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SSC FORT COLLINS SPRING CREEK OPERATING COMPANY LLC is an assisted living facility in Fort Collins, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SSC FORT COLLINS SPRING CREEK OPERATING COMPANY LLC NPI is 1528591690. The provider is registered as an organization entity type.
The provider Is Doing Business As Garden Square At Spring Creek.

The provider's business location address is:

1000 E STUART ST
FORT COLLINS, CO
ZIP 80525-555
Phone: (970) 482-5712

The provider's authorized official is Kelle C Santoro .
The authorized official title is Sr Director Ar and has the following contact phone number (832) 467-5728.

The enumeration date for this NPI number is 4/6/2017 and was last updated on 4/6/2017.


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
1310400000XAssisted Living Facility230320COLORADOYes

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
176054276MEDICAIDCOLORADO

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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