NPI 1255386546

Five Star Quality Care-Colorado LLC

Organisation Skilled Nursing Facility Canon City, CO

Practice location

Address: 515 Fairview Ave, Canon City, CO 81212-2863
Phone: (719) 275-0665
Fax: (719) 275-6225
Mailing address: 400 Centre St, Newton, MA 02458-2094

Authorised official

Name: Katerine E Potter
Title: President & Chief Executive Officer
Phone: (617) 796-8387

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 1091 (CO)

Other Skilled Nursing Facility providers in Colorado →

Registry record

NPI: 1255386546
Entity type: Organization
NPI issued: 24 May 2006
Record last updated: 26 Mar 2019

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.