MEDICARE: DESHANO CARE CENTERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	23C879	CO

General Provider Information

NPI Number	:	1740762061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESHANO CARE CENTERS LLC

Provider Business Mailing Address
First Line	:	355 S TELLER ST STE 200
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-7391
Country	:	US
Telephone Number	:	303-803-6977
Fax Number	:

Provider Business Practice Location Address
First Line	:	1975 OWENS CT
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-2732
Country	:	US
Telephone Number	:	303-803-6977
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUKONTAR DESHANO
Credential	:
Telephone Number	:	303-803-6977

Provider Enumeration Date	:	09/04/2018
Last Update Date	:	12/02/2025

Similar Medicare Providers

1083244289 — LEAH FOREMAN, OCCUPATIONAL THERAPY & WELLNESS
Practice Location Address:

1945 OWENS CT
LAKEWOOD, CO
80215-2732

Practice Phone: 614-381-1382
Practice Fax: 720-316-6020

1366072522 — LEAH MARIE FOREMAN SULLIVAN
Practice Location Address:

1945 OWENS CT
LAKEWOOD, CO
80215-2732

Practice Phone: 614-381-1382
Practice Fax: 720-316-6020

1730594276 — ALICE BRYANT STNA
Practice Location Address:

1350 GIEL AVE
LAKEWOOD, OH
44107-2732

Practice Phone: 216-644-4355
Practice Fax:

1922690080 — RIKKI HANSON LCSW
Practice Location Address:

2732 S BRAUN WAY
LAKEWOOD, CO
80228-4954

Practice Phone: 303-919-7379
Practice Fax:

1821810169 — CAITLYN DISANTO FNP
Practice Location Address:

12600 W COLFAX AVE STE B200
LAKEWOOD, CO
80215-3736

Practice Phone: 303-993-1330
Practice Fax:

1386455509 — MARY ELIZABETH KLAHR AGPCNP
Practice Location Address:

12600 W COLFAX AVE STE B200
LAKEWOOD, CO
80215-3736

Practice Phone: 303-993-1330
Practice Fax:

Directions to “DESHANO CARE CENTERS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.