Hildebrand Care Center

LBN: Shadow Mountain Management Corporation
Hildebrand Care Center is an health care organization with primary practice located at 1401 Phay Ave , Canon City CO 81212-2303. 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. Shadow Mountain Management Corporation can be contacted via phone (719) 275-8656, or through Mcclain-Alleshouse, Christina via phone (719) 275-8656.

Contact Information

Primary practice address
1401 Phay Ave Canon City CO 81212-2303
Phone: (719) 275-8656
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcclain-Alleshouse, Christina
Phone: (719) 275-8656

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0055 Colorado

Profile Details

NPI number 1366430910
LBN Legal business name Shadow Mountain Management Corporation
DBA Doing business as Hildebrand Care Center
Authorized official Mcclain-Alleshouse, Christina
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2005
Last updated Sep 20th, 2021 - about 5 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 1366430910 NPPES
Colorado MEDICAID 05653571
Colorado Other 42337071

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