NPI Database
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Contact Information

CHANCELLOR HEALTH CARE OF COLORADO, LLC
1330 SIDNEY AVE
STERLING, CO80751-2241
 Phone: 970-522-4888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Assisted Living Facility

310400000X
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for CHANCELLOR HEALTH CARE OF COLORADO, LLC

NPI Number 1023003167
LBN Legal business name CHANCELLOR HEALTH CARE OF COLORADO, LLC
Authorized official GLORIA KAISER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2005
Last updated 01/13/2012 - About 14 years ago
Identifiers
CO License # 04181962
CO License # 05652250
CO License # 065150
CO Medicaid 04181962
CO Medicaid 05652250
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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