Willow Tree Care Center

LBN: Five Star Quality Care-Colorado Llc
Willow Tree Care Center is an health care organization with primary practice located at 2050 S Main St , Delta CO 81416-2407. 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. Five Star Quality Care-Colorado Llc can be contacted via phone (970) 874-9773, or through Potter, Katherine E via phone (617) 796-8387.

Contact Information

Primary practice address
2050 S Main St Delta CO 81416-2407
Fax: (970) 874-3611
Website:
Authorized official contact:
Name: Potter, Katherine E

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1147 Colorado

Profile Details

NPI number 1750336020
LBN Legal business name Five Star Quality Care-Colorado Llc
DBA Doing business as Willow Tree Care Center
Authorized official Potter, Katherine E
Entity Organization
Organization subpart 1 Yes
Enumeration date May 24th, 2006
Last updated Mar 26th, 2019 - about 7 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 1750336020 NPPES
Colorado MEDICAID 64623041

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