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Shadow Mountain Management Corporation
Skilled Nursing Facility in Canon City, Colorado
NPI 1366430910

Shadow Mountain Management Corporation is a Skilled Nursing Facility based in Canon City, CO. Shadow Mountain Management Corporation practices in Canon City, CO. The NPI Number for Shadow Mountain Management Corporation is 1366430910 and holds a License No. 0055 (Colorado).

The current practice location address for Shadow Mountain Management Corporation is 1401 Phay Ave, Canon City, CO and can be reached out via phone at 719-275-8656.

Location: 1401 Phay Ave, Canon City, CO, 81212-2303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366430910
Provider Name
Shadow Mountain Management Corporation
Credential
Provider Entity Type
Organization
Address
1401 Phay Ave, Canon City, CO, 81212-2303
Phone Number
719-275-8656
Fax Number
Provider Enumeration Date
10/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05653571 05 CO
42337071 01 CO RESPITE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1401 Phay Ave
City
Canon City
State
Colorado
Zip
81212-2303
Phone Number
719-275-8656
Fax Number
person
Provider Business Mailing Address Details
Address
1401 Phay Ave
City
Canon City
State
Colorado
Zip
81212-2303
Phone Number
719-275-8656
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
0055 (Colorado)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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