Healthcare Provider Details

I. General information

NPI: 1679224976
Provider Name (Legal Business Name): NORTHWEST COLORADO VISITING NURSE ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2022
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S SHELTON LN
HAYDEN CO
81639-9634
US

IV. Provider business mailing address

940 CENTRAL PARK DR STE 101
STEAMBOAT SPRINGS CO
80487-8853
US

V. Phone/Fax

Practice location:
  • Phone: 970-879-1632
  • Fax:
Mailing address:
  • Phone: 970-879-1632
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE ANDERSON
Title or Position: COO
Credential:
Phone: 970-879-1632