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Burlington Nursing Home LLC

Organization Active NPI Skilled Nursing Facility · Burlington, CO

NPI 1396830709 · NPPES record last updated Mar 3, 2010

Key facts

NPI
1396830709
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
0066 (CO)
Legal business name
BURLINGTON NURSING HOME LLC
Practice address
465 5TH Street
Burlington, CO 80807-1932
Phone
(719) 346-7512
Fax
(719) 346-9373
NPI assigned
Oct 3, 2006
Organization subpart
No

Authorized official

Name
Mr. David Bruce Beardsley
Title
Owner
Phone
(423) 336-6744

Corporate family (same tax ID) 4

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

National Provider Directory

Tax ID family
Madison Senior Living Management LLC (5 organizations share this tax ID)

Locations

465 5th St
Burlington, CO 80807
Phone (719) 346-7512

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0066 CO Yes

Addresses

Primary practice location

465 5TH Street
Burlington, CO 80807-1932

Mailing address

465 5TH St
Burlington, CO 80807-1932
Phone (719) 346-7512

Other identifiers

IdentifierTypeStateIssuer
57475041MedicaidCO

Other names

  • Grace Manor Care Center Doing business as

Other providers in Burlington, CO

All providers in Burlington, CO · Skilled Nursing Facility in Colorado

Sources for this page

Verify at the official NPI Registry.