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NPI Code Detail

MEDICARE: SSC DENVER RED ROCKS OPERATING COMPANY LLC

MEDICARE: SSC DENVER RED ROCKS OPERATING COMPANY LLC
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
1385H00000XRespite Care

Other Identifiers

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

General Provider Information

NPI Number : 1770071854
Entity Type Code : Organization
Provider Name (Legal Business Name) : SSC DENVER RED ROCKS OPERATING COMPANY LLC
Provider Business Mailing Address
First Line : 5300 W SAM HOUSTON PKWY N STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77041-5162
Country : US
Telephone Number : 862-467-6000
Fax Number : 832-467-8500
Provider Business Practice Location Address
First Line : 4450 E JEWELL AVE
Second Line :
City : DENVER
State : CO
Zip : 80222-4605
Country : US
Telephone Number : 303-757-7438
Fax Number :
Authorized Official
Title or Position : DIRECTOR REIMBURSEMENT
Name : KEN PITTS
Credential :
Telephone Number : 832-467-6793
Provider Enumeration Date : 04/25/2018
Last Update Date : 04/25/2018

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Directions to “SSC DENVER RED ROCKS OPERATING COMPANY LLC ” Practice Location

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