Wheatridge Manor Nursing Home

LBN: 33 Southmoor Properties, Inc.
Wheatridge Manor Nursing Home is an health care organization with primary practice located at 2920 Fenton St , Wheat Ridge CO 80214-8116. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 33 Southmoor Properties, Inc. can be contacted via phone (303) 238-0481, or through Moskowitz, Jay H. via phone (303) 238-3838.

Contact Information

Primary practice address
2920 Fenton St Wheat Ridge CO 80214-8116
Phone: (303) 238-0481
Fax: (303) 233-3775
Website:
Map and Directions
Authorized official contact:
Name: Moskowitz, Jay H. NHA
Phone: (303) 238-3838

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 020436 Colorado

Profile Details

NPI number 1902803620
LBN Legal business name 33 Southmoor Properties, Inc.
DBA Doing business as Wheatridge Manor Nursing Home
Authorized official Moskowitz, Jay H. NHA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Nov 1st, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902803620 NPPES
Colorado Other 4540660001 DMERC NUMBER
Colorado MEDICAID 80636217 DMERC NUMBER

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