Healthcare Provider Details

I. General information

NPI: 1235925801
Provider Name (Legal Business Name): THE LODGE AT RED ROCKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 SPRING ST
MORRISON CO
80465-2532
US

IV. Provider business mailing address

150 SPRING ST
MORRISON CO
80465-2532
US

V. Phone/Fax

Practice location:
  • Phone: 720-983-4600
  • Fax:
Mailing address:
  • Phone: 720-983-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: AARON CHESLEY
Title or Position: MANAGER
Credential:
Phone: 858-353-3849