Healthcare Provider Details

I. General information

NPI: 1417813015
Provider Name (Legal Business Name): GM 465 BURLINGTON OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 5TH ST
BURLINGTON CO
80807-1932
US

IV. Provider business mailing address

2668 NORTHPARK DR
LAFAYETTE CO
80026-3199
US

V. Phone/Fax

Practice location:
  • Phone: 719-346-7512
  • Fax:
Mailing address:
  • Phone: 303-952-9216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: STEVEN VELUSCEK
Title or Position: PRESIDENT OF MEMBER
Credential:
Phone: 303-952-9216