Healthcare Provider Details

I. General information

NPI: 1518076462
Provider Name (Legal Business Name): CATHOLIC HEALTH INITIATIVES COLORADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1338 PHAY AVE
CANON CITY CO
81212-2302
US

IV. Provider business mailing address

2425 S COLORADO BLVD SUITE 250
DENVER CO
80222-5946
US

V. Phone/Fax

Practice location:
  • Phone: 719-269-2122
  • Fax: 719-269-2256
Mailing address:
  • Phone: 866-905-0165
  • Fax: 303-715-7010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateCO

VIII. Authorized Official

Name: MRS. NANCY STOKES
Title or Position: CFO, SENIOR SERVICES
Credential:
Phone: 303-715-7013