MEDICARE: CHRISTIAN LIVING NEIGHBORHOODS

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	310400000X	Assisted Living Facility	0272	CO
2	314000000X	Skilled Nursing Facility	0359	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	:	1598740755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIAN LIVING NEIGHBORHOODS

Provider Business Mailing Address
First Line	:	9570 S KINGSTON CT STE 300
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80112-6004
Country	:	US
Telephone Number	:	720-974-3900
Fax Number	:	720-974-3593

Provider Business Practice Location Address
First Line	:	2480 S CLERMONT ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-6512
Country	:	US
Telephone Number	:	303-758-4528
Fax Number	:	303-758-1787

Authorized Official
Title or Position	:	LEAD BILLING SPECIALIST
Name	:	LISA B DENBRABER
Credential	:
Telephone Number	:	720-974-3900

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	11/12/2020

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