MEDICARE: THE GARDENS CARE HOMES COYOTE CREEK MEMORY CARE

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

General Provider Information

NPI Number	:	1770275489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE GARDENS CARE HOMES COYOTE CREEK MEMORY CARE

Provider Business Mailing Address
First Line	:	12650 W 64TH AVE # E172
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80004-3893
Country	:	US
Telephone Number	:	303-421-6539
Fax Number	:

Provider Business Practice Location Address
First Line	:	1102 4TH ST
Second Line	:
City	:	FORT LUPTON
State	:	CO
Zip	:	80621-1738
Country	:	US
Telephone Number	:	303-566-1085
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER CONRAD
Credential	:
Telephone Number	:	303-421-6539

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	05/22/2023

Similar Medicare Providers

1922211366 — BEE HIVE - FORT LUPTON #2, LLC
Practice Location Address:

1150 4TH ST
FORT LUPTON, CO
80621-1738

Practice Phone: 303-857-0116
Practice Fax: 303-857-0117

1164635504 — BEE HIVE - FT. LUPTON #3, LLC
Practice Location Address:

1102 4TH ST
FORT LUPTON, CO
80621-1738

Practice Phone: 303-857-1921
Practice Fax: 303-857-1951

1508365438 — ASHLEY MANOR, LLC
Practice Location Address:

1102 4TH ST
FORT LUPTON, CO
80621-1738

Practice Phone: 303-857-0116
Practice Fax:

1053810895 — ASHLEY MANOR, LLC
Practice Location Address:

1150 4TH ST
FORT LUPTON, CO
80621-1738

Practice Phone: 303-857-1921
Practice Fax:

1942990270 — THE GARDENS CARE HOMES COYOTE CREEK ASSISTED LIVING
Practice Location Address:

1150 4TH ST
FORT LUPTON, CO
80621-1738

Practice Phone: 303-566-1085
Practice Fax:

1275752099 — DR. DAVID JESERSKI D.C.
Practice Location Address:

1738 N FORT HARRISON AVE
CLEARWATER, FL
33755-1703

Practice Phone: 727-446-2553
Practice Fax: 727-441-9608

Directions to “THE GARDENS CARE HOMES COYOTE CREEK MEMORY CARE ” 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.