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NPI Code Detail

MEDICARE: SUNNY VISTA LIVING CENTER

MEDICARE: SUNNY VISTA LIVING CENTER
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
1314000000XSkilled Nursing Facility0094CO

Other Identifiers

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

General Provider Information

NPI Number : 1801016688
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNNY VISTA LIVING CENTER
Provider Business Mailing Address
First Line : 2445 E CACHE LA POUDRE ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-4812
Country : US
Telephone Number : 719-471-8700
Fax Number : 719-471-4352
Provider Business Practice Location Address
First Line : 2445 E CACHE LA POUDRE ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-4812
Country : US
Telephone Number : 719-471-8700
Fax Number : 719-471-4352
Authorized Official
Title or Position : BILLING SPECIALIST
Name : LISA B DENBRABER
Credential :
Telephone Number : 720-974-3900
Provider Enumeration Date : 04/26/2007
Last Update Date : 07/15/2022

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Directions to “SUNNY VISTA LIVING CENTER ” Practice Location

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