MEDICARE: CATHOLIC HEALTH INITIATIVES COLORADO

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	311ZA0620X	Adult Care Home Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760597173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHOLIC HEALTH INITIATIVES COLORADO

Provider Business Mailing Address
First Line	:	2425 S COLORADO BLVD
Second Line	:	SUITE 250
City	:	DENVER
State	:	CO
Zip	:	80222-5946
Country	:	US
Telephone Number	:	866-905-0165
Fax Number	:	303-715-7010

Provider Business Practice Location Address
First Line	:	2 PENROSE BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4214
Country	:	US
Telephone Number	:	719-776-8585
Fax Number	:	719-520-9709

Authorized Official
Title or Position	:	CFO, SENIOR SERVICES
Name	:	MRS. NANCY STOKES
Credential	:
Telephone Number	:	303-715-7013

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	08/22/2020

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