Organization Active NPI

Forest Street LTC, LLLP

  • Skilled Nursing Facility
  • Denver, CO
National Provider Identifier
1114939956
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
PENDING Issued in CO
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

Updated by the provider on Sep 12, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00122777MedicaidCO

Other names 1

  • Forest Street Compassionate Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.