Healthcare Provider Details

I. General information

NPI: 1568763522
Provider Name (Legal Business Name): SENIOR CARE OF COLORADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2010
Last Update Date: 11/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 E HAMPDEN AVE SUITE 100
ENGLEWOOD CO
80113-2780
US

IV. Provider business mailing address

2400 S PEORIA ST SUITE 100
AURORA CO
80014-5476
US

V. Phone/Fax

Practice location:
  • Phone: 303-306-4321
  • Fax: 303-306-4350
Mailing address:
  • Phone: 303-306-4321
  • Fax: 303-306-4350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPOD-549
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DONALD J MURPHY
Title or Position: CO PRINCIPAL
Credential: MD
Phone: 303-306-4321