WINDSOR LAKE HEALTHCARE INC. NPI 1851608525

NPI Information

NPI: 1851608525
Provider Name: WINDSOR LAKE HEALTHCARE, INC.

Doing Business As: FRONTIER VALLEY INDEPENDENT AND ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 06D2199282

Address:
11265 E MISSISSIPPI AVE
AURORA, CO
ZIP 80012
Phone: (303) 341-1412
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WINDSOR LAKE HEALTHCARE, INC. is an assisted living facility in Aurora, 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. WINDSOR LAKE HEALTHCARE, INC. NPI is 1851608525. The provider is registered as an organization entity type.
The provider Is Doing Business As Frontier Valley Independent And Assisted Living.

The provider's business location address is:

11265 E MISSISSIPPI AVE
AURORA, CO
ZIP 80012-201
Phone: (303) 341-1412
Fax: (303) 340-8195

The provider's authorized official is Soon Burnam .
The authorized official title is Treasurer and has the following contact phone number (949) 540-1249.

The CLIA number assigned to this NPI record is 06D2199282 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2010 and was last updated on 5/6/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility			COLORADO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	UNKNOWN	MEDICAID	COLORADO

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

NPI Synchronization or Removal

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