Healthcare Provider Details

I. General information

NPI: 1043303571
Provider Name (Legal Business Name): KINDRED NURSING CENTERS WEST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 12/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 E 3RD AVE
AURORA CO
80010-4301
US

IV. Provider business mailing address

680 S 4TH ST # KH-2
LOUISVILLE KY
40202-2407
US

V. Phone/Fax

Practice location:
  • Phone: 303-364-3364
  • Fax: 303-363-0898
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number020426
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number020426
License Number StateCO

VIII. Authorized Official

Name: MS. MARILYN A WEAVER
Title or Position: ASSISTANT SECRETARY
Credential:
Phone: 502-596-7563