MEDICARE: SUNBETH CORPORATION

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	163W00000X	Registered Nurse		CO
2	251J00000X	Nursing Care Agency		CO

General Provider Information

NPI Number	:	1922271105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNBETH CORPORATION

Provider Business Mailing Address
First Line	:	770 W HAMPDEN AVE
Second Line	:	201
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-2130
Country	:	US
Telephone Number	:	303-692-8500
Fax Number	:	303-692-0541

Provider Business Practice Location Address
First Line	:	770 W HAMPDEN AVE
Second Line	:	201
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-2130
Country	:	US
Telephone Number	:	303-692-8500
Fax Number	:	303-692-0541

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BETH L SWANSON
Credential	:	RN
Telephone Number	:	303-692-8500

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	07/02/2009

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Directions to “SUNBETH CORPORATION ” Practice Location

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