Healthcare Provider Details

I. General information

NPI: 1992653703
Provider Name (Legal Business Name): BKD SKYLINE PROPCO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2365 PATRIOT HTS
COLORADO SPRINGS CO
80904-5122
US

IV. Provider business mailing address

2365 PATRIOT HTS
COLORADO SPRINGS CO
80904-5122
US

V. Phone/Fax

Practice location:
  • Phone: 719-667-5360
  • Fax:
Mailing address:
  • Phone: 719-667-5360
  • 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: ANNA F.C. MUNOZ
Title or Position: ASSISTANT SECRETARY
Credential:
Phone: 414-918-5443