Healthcare Provider Details
I. General information
NPI: 1487481305
Provider Name (Legal Business Name): STORYBROOK CARE & REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/16/2024
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1005 E ELIZABETH ST
FORT COLLINS CO
80524-3911
US
IV. Provider business mailing address
1005 E ELIZABETH ST
FORT COLLINS CO
80524-3911
US
V. Phone/Fax
- Phone: 970-482-2525
- Fax: 970-482-1138
- Phone: 970-482-2525
- Fax: 970-482-1138
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
AARON
CHESLEY
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 970-482-2525