Healthcare Provider Details

I. General information

NPI: 1952335978
Provider Name (Legal Business Name): NEXTCARE SPECIALTY HOSPITAL OF DENVER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 11/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 MEADE STREET
DENVER CO
80204-1552
US

IV. Provider business mailing address

5340 LEGACY DR SUITE 150
PLANO TX
75024-3121
US

V. Phone/Fax

Practice location:
  • Phone: 303-899-5166
  • Fax: 303-575-8208
Mailing address:
  • Phone: 469-241-2100
  • Fax: 469-241-5198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number0552
License Number StateCO

VIII. Authorized Official

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