Organization Active NPI

Sandalwood Manor, Inc

  • Skilled Nursing Facility
  • Wheat Ridge, CO
National Provider Identifier
1023015799
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SANDALWOOD MANOR, INC
Doing business as
Rehabilitation Center at Sandalwood
Practice address
3835 Harlan St
Wheat Ridge, CO 80033-5111
Phone
(303) 422-1533
Fax
(303) 422-2433
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard Whelan
Title
Owner
Phone
(303) 422-1533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3835 Harlan St
Wheat Ridge, CO 80033-5111

Mailing address

1667 Saint Paul St
Denver, CO 80206-1614
Phone (303) 421-3600

Other identifiers 1

IdentifierTypeStateIssuer
05651534MedicaidCO

Other names 1

  • Rehabilitation Center at Sandalwood Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1023015799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 SAINT PAUL ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061614",
            "telephone_number": "303-421-3600",
            "fax_number": "303-388-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 HARLAN ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335111",
            "telephone_number": "303-422-1533",
            "fax_number": "303-422-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDALWOOD MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "WHELAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-422-1533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05651534",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation Center at Sandalwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.