MEDICARE: SUNRISE CHERRY CREEK SENIOR LIVING, 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	AL-1041	CO

General Provider Information

NPI Number	:	1922217934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRISE CHERRY CREEK SENIOR LIVING, LLC

Provider Business Mailing Address
First Line	:	251 S COLORADO BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80246-1043
Country	:	US
Telephone Number	:	303-333-1166
Fax Number	:

Provider Business Practice Location Address
First Line	:	251 S COLORADO BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80246-1043
Country	:	US
Telephone Number	:	303-333-1166
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	GARY WALKER
Credential	:
Telephone Number	:	303-333-1166

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	08/22/2020

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