NPI 1013967132
12080 Bellaire Way Operations LLC
Practice location
- Address
- 12080 Bellaire Way, Thornton, CO 80241-3600
- Phone
- (303) 450-2700
- Fax
- (303) 450-2800
- Mailing address
- 101 Sun Ave NE Compliance Department, Albuquerque, NM 87109-4373
Authorised official
- Name
- Michael T Berg
- Title
- Authorized Official
- Phone
- (505) 468-4742
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1013967132
- Entity type
- Organization
- NPI issued
- 11 May 2006
- Record last updated
- 8 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.