MEDICARE: HANLON-BUSH INVESTMENTS, 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
1	385H00000X	Respite Care	1246	CO
2	314000000X	Skilled Nursing Facility	1246	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982799383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANLON-BUSH INVESTMENTS, LLC

Provider Business Mailing Address
First Line	:	1020 PATTON ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4018
Country	:	US
Telephone Number	:	970-484-7981
Fax Number	:	970-484-8143

Provider Business Practice Location Address
First Line	:	1020 PATTON STREET
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4018
Country	:	US
Telephone Number	:	970-484-7981
Fax Number	:	970-484-8103

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ANTHONY JOHN HANLON
Credential	:
Telephone Number	:	970-484-7981

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	03/09/2023

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