Healthcare Provider Details

I. General information

NPI: 1568573442
Provider Name (Legal Business Name): PORTERCARE ADVENTIST HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5020 E ARAPAHOE RD
CENTENNIAL CO
80122-2302
US

IV. Provider business mailing address

2600 WESTHALL LN FL 2
MAITLAND FL
32751-7102
US

V. Phone/Fax

Practice location:
  • Phone: 303-694-3545
  • Fax:
Mailing address:
  • Phone: 407-200-2857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number0696
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number0696
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number0696
License Number StateCO

VIII. Authorized Official

Name: MARK WHEELER
Title or Position: CFO
Credential:
Phone: 530-545-1409