Active NPI
Forest Street LTC, LLLP
- Skilled Nursing Facility
- Denver, CO
National Provider Identifier
1114939956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- PENDING
- Legal business name
- FOREST STREET LTC, LLLP
- Doing business as
- Forest Street Compassionate Care Center
- Practice address
- 3345 Forest St
Denver, CO 80207-1944 - Phone
- (303) 393-7600
- Fax
- (303) 393-7606
- NPI assigned
- Aug 12, 2006
- 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
- Mr. Mitchell J Friedman, NHA
- Title
- Director of Operations
- Phone
- (720) 929-0086
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | PENDING | CO | Primary |
Addresses
Primary practice location
3345 Forest St
Denver, CO 80207-1944
Mailing address
1625 Mid Valley Dr
1-111
Steamboat SPR, CO 80487-9010
Phone (720) 929-0086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00122777 | Medicaid | CO |
Other names 1
- Forest Street Compassionate Care Center
National Provider Directory
National Provider DirectoryLocations
1625 Mid Valley Dr
#1111
Steamboat Spr, CO 80487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662940800000",
"number": "1114939956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 MID VALLEY DR",
"address_2": "1-111",
"city": "STEAMBOAT SPR",
"state": "CO",
"postal_code": "804879010",
"telephone_number": "720-929-0086",
"fax_number": "720-929-0381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 FOREST ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802071944",
"telephone_number": "303-393-7600",
"fax_number": "303-393-7606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREST STREET LTC, LLLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A",
"authorized_official_last_name": "FRIEDMAN",
"authorized_official_first_name": "MITCHELL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "720-929-0086",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CO",
"license": "PENDING",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00122777",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Forest Street Compassionate Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Forest Street Compassionate Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.