Park Forest Care Center Inc

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

Legal business name

PARK FOREST CARE CENTER INC

Practice address

7045 Stuart St
Westminster, CO 80030-5820

Phone

(303) 427-7045

Fax

(303) 427-0023

NPI assigned

Nov 21, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Beverly Jean De la Garza, LICENSED 2116

Title

Nursing Home Administrator

Phone

(303) 427-7045

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215910674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7045 STUART ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800305820",
            "telephone_number": "303-427-7045",
            "fax_number": "303-427-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7045 STUART ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800305820",
            "telephone_number": "303-427-7045",
            "fax_number": "303-427-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK FOREST CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE LA GARZA",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "303-427-7045",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICENSED 2116"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05651757",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tevara Jeanne Paranto, LCSW
• Claude A Pareja, D.D.S.
• Amie Parent, MT
• Dural L. Parish Jr., DDS
• Julia A Parisian, PH.D.
• Park Forest Care Center LLC
• Alexander Hyon Kyu Park, D.D.S.
• Kristen Jiin Park
• Parker Personal Care Homes, Inc.
• Parker Personal Care Homes, Inc.

• Mental Illness Intermediate Care Facility in Westminster, CO
• Providers in Westminster, CO by specialty
• Mental Illness Intermediate Care Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.