Healthcare Provider Details

I. General information

NPI: 1407299662
Provider Name (Legal Business Name): NEW NEXTCARE SPECIALTY HOSPITAL OF DENVER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 05/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 MEADE ST
DENVER CO
80204-1552
US

IV. Provider business mailing address

5340 LEGACY DR SUITE150
PLANO TX
75024-3178
US

V. Phone/Fax

Practice location:
  • Phone: 303-264-6900
  • Fax: 303-264-6897
Mailing address:
  • Phone: 469-241-2128
  • Fax: 469-241-2177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number010486
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number010486
License Number StateCO

VIII. Authorized Official

Name: MR. MICHAEL CRONIN
Title or Position: VICE PRESIDENT - REIMBURSEMENT
Credential:
Phone: 469-241-2128