Organization Active NPI

Sandalwood Manor, Inc

  • Skilled Nursing Facility
  • Wheat Ridge, CO
National Provider Identifier
1104461771
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
Practice address
3835 Harlan St
Wheat Ridge, CO 80033-5111
Phone
(303) 421-3600
NPI assigned
Nov 7, 2019
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
Richard S 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

1127 E 16TH Ave
Denver, CO 80218-1506
Phone (303) 421-3600

Other identifiers 1

IdentifierTypeStateIssuer
05651534MedicaidCO

Other names 1

  • The Rehabilitation Center at Sandalwood Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A Other

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1104461771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 E 16TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181506",
            "telephone_number": "303-421-3600"
        },
        {
            "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": "303-421-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDALWOOD MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "WHELAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-422-1533"
    },
    "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": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "3835 Harlan St",
            "city": "Wheat Ridge",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800335111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Rehabilitation Center at Sandalwood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The 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.