Healthcare Provider Details

I. General information

NPI: 1003892563
Provider Name (Legal Business Name): SCCI HOSPITALS OF AMERICA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 POTOMAC ST FL 2
AURORA CO
80011
US

IV. Provider business mailing address

700 POTOMAC ST FL 2
AURORA CO
80011-6846
US

V. Phone/Fax

Practice location:
  • Phone: 720-857-8333
  • Fax:
Mailing address:
  • Phone: 720-857-8333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number0663
License Number StateCO

VIII. Authorized Official

Name: KATHY TEAGUE
Title or Position: VICE PRESIDENT, CORPORATE SECRETARY
Credential:
Phone: 629-253-5121