MEDICARE: CHI LIVING COMMUNITIES

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	230426	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	:	1841718947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHI LIVING COMMUNITIES

Provider Business Mailing Address
First Line	:	5942 RENAISSANCE PL STE A
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43623-4716
Country	:	US
Telephone Number	:	567-455-0414
Fax Number	:

Provider Business Practice Location Address
First Line	:	2825 W 32ND AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-3225
Country	:	US
Telephone Number	:	303-964-2000
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY/CHIEF OPERATING OFFICER
Name	:	WENDY DOLYK
Credential	:
Telephone Number	:	567-455-0414

Provider Enumeration Date	:	09/08/2017
Last Update Date	:	09/08/2017

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Directions to “CHI LIVING COMMUNITIES ” Practice Location

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