Organization Active NPI

QL-Uptown Health Care Center, LLC

Doing business as Uptown Health Care Center

  • Skilled Nursing Facility
  • Denver, CO
National Provider Identifier
1275992794
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
020452 Issued in CO
Legal business name
QL-UPTOWN HEALTH CARE CENTER, LLC
Doing business as
Uptown Health Care Center
Practice address
745 E 18TH Ave
Denver, CO 80203-1414
Phone
(303) 860-0500
Fax
(303) 860-0037
NPI assigned
Feb 11, 2016
Last updated
May 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Mary Koretke
Title
Director of Reimbursement
Phone
(720) 974-6278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 020452 CO Primary

Addresses

Primary practice location

745 E 18TH Ave
Denver, CO 80203-1414

Mailing address

745 E 18TH Ave
Denver, CO 80203-1414
Phone (303) 860-0500

Other identifiers 1

IdentifierTypeStateIssuer
33073325MedicaidCO

Other names 1

  • Uptown Health Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
QL Uptown Health Care Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1275992794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 E 18TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031414",
            "telephone_number": "303-860-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 E 18TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031414",
            "telephone_number": "303-860-0500",
            "fax_number": "303-860-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QL-UPTOWN HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "720-974-6278"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "020452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33073325",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uptown Health 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 May 2, 2016; 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.