Boulder Manor

LBN: Ssc Boulder Operating Company Llc
Boulder Manor is an health care organization with primary practice located at 4685 Baseline Rd , Boulder CO 80303-2601. 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. Ssc Boulder Operating Company Llc can be contacted via phone (303) 494-0535, or through Santoro, Kelle C via phone (832) 467-5728.

Contact Information

Primary practice address
4685 Baseline Rd Boulder CO 80303-2601
Phone: (303) 494-0535
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Santoro, Kelle C
Phone: (832) 467-5728

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1285 Colorado

Profile Details

NPI number 1609996560
LBN Legal business name Ssc Boulder Operating Company Llc
DBA Doing business as Boulder Manor
Authorized official Santoro, Kelle C
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2007
Last updated Nov 11th, 2020 - about 6 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 1609996560 NPPES
Colorado MEDICAID 06934242

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