Healthcare Provider Details

I. General information

NPI: 1235563958
Provider Name (Legal Business Name): CUCHARRAS OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2013
Last Update Date: 02/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2612 W CUCHARRAS STREET
COLORADO SPRINGS CO
80904-1320
US

IV. Provider business mailing address

26522 LA ALAMEDA STE 300
MISSION VIEJO CA
92691-8302
US

V. Phone/Fax

Practice location:
  • Phone: 719-632-7474
  • Fax: 719-635-0058
Mailing address:
  • Phone: 949-449-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: RACHEL SILVER
Title or Position: DIRECTOR OF A/R-COLORADO
Credential:
Phone: 619-876-9252