MEDICARE: ROWAN COMMUNITY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	020459	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457710972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROWAN COMMUNITY, INC

Provider Business Mailing Address
First Line	:	4601 E ASBURY CIR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4722
Country	:	US
Telephone Number	:	303-757-1228
Fax Number	:	303-759-3390

Provider Business Practice Location Address
First Line	:	4601 E ASBURY CIR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4722
Country	:	US
Telephone Number	:	303-757-1228
Fax Number	:	303-759-3390

Authorized Official
Title or Position	:	DIRECTOR OF REIMBURSEMENT
Name	:	MARY KORETKE
Credential	:
Telephone Number	:	720-974-6278

Provider Enumeration Date	:	02/11/2016
Last Update Date	:	02/11/2016

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Directions to “ROWAN COMMUNITY, INC ” Practice Location

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