National Provider Identifier Database

JACKSON CREEK ASSISTED LIVING LLC
Assisted Living Facility

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.


Contact Information

JACKSON CREEK ASSISTED LIVING, LLC
16601 JACKSON CREEK PARKWAY
MONUMENT, CO80132
Phone: 719-725-6060
Fax: 303-987-0434
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for JACKSON CREEK ASSISTED LIVING, LLC

NPI Number 1417421025
Legal business name
LBN
JACKSON CREEK ASSISTED LIVING, LLC
Authorized official MARY KORETKE - (DIRECTOR OF REIMBURSEMENT)
Entity Organization
Organization subpart No
Enumeration date 01/16/2019
Last updated 01/16/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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