Active NPI
Sandalwood Manor, Inc
- Skilled Nursing Facility
- Wheat Ridge, CO
National Provider Identifier
1104461771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05651534 | Medicaid | CO |
Other names 1
- The Rehabilitation Center at Sandalwood
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A | Other |
National Provider Directory
National Provider DirectoryNPI 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.