Five Star Quality Care-Colorado LLC
Skilled Nursing Facility in Canon City, Colorado
1255386546- Practice location
- 515 Fairview Ave, Canon City, CO 81212-2863
- Phone
- 719-275-0665
- Fax
- 719-275-6225
- Last updated
- March 26, 2019
Five Star Quality Care-Colorado LLC is a healthcare organization based in Canon City, CO. Five Star Quality Care-Colorado LLC practices in Canon City, CO. The NPI Number for Five Star Quality Care-Colorado LLC is 1255386546 and holds a License No. 1091 (CO). The current practice location address for Five Star Quality Care-Colorado LLC is 515 Fairview Ave, Canon City, CO 81212-2863 and can be reached out via phone at 719-275-0665 and via fax at 719-275-6225.
Provider Profile Details
- NPI Number
- 1255386546
- Provider Name
- Five Star Quality Care-Colorado LLC
- Provider Entity Type
- Organization
- Address
- 515 Fairview Ave, Canon City, CO 81212-2863
- Phone Number
- 719-275-0665
- Fax Number
- 719-275-6225
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- Yes
- Parent Organization
- Five Star Quality Care-Colorado LLC
- Authorized Official
- Katerine E Potter · President & Chief Executive Officer · 617-796-8387
- Other Names
- Skyline Ridge Apartments And Nursing & Rehabilitation Center (Doing Business As)
- Provider Enumeration Date
- May 24, 2006
- Last Update Date
- March 26, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 515 Fairview Ave
Canon City, CO 81212-2863 - City
- Canon City
- State
- Colorado
- Zip
- 81212-2863
- Phone Number
- 719-275-0665
- Fax Number
- 719-275-6225
Provider Business Mailing Address Details
- Address
- 400 Centre St
Newton, MA 02458-2094 - City
- Newton
- State
- MA
- Zip
- 02458-2094
- Phone Number
- 617-796-8387
- Fax Number
- 617-796-8375
License Information
- License Number
- 1091
- License State
- CO
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Skilled Nursing Facility providers near Canon City, CO
View all Skilled Nursing Facility providers in Canon City →Frequently Asked Questions
What is the NPI number of Five Star Quality Care-Colorado LLC?
The NPI number of Five Star Quality Care-Colorado LLC is 1255386546. It was assigned on May 24, 2006 and is currently active in the NPPES registry.
What is the specialty of Five Star Quality Care-Colorado LLC?
Five Star Quality Care-Colorado LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in CO under license number 1091.
Where does Five Star Quality Care-Colorado LLC practice?
The practice location is 515 Fairview Ave, Canon City, CO 81212-2863. The office can be reached at 719-275-0665 (phone) or 719-275-6225 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255386546 directly on the NPPES registry website.