Broomfield Skilled Nursing and Rehabilitation Center, LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC

Practice address

12975 Sheridan Blvd
Broomfield, CO 80020-1477

Phone

(303) 785-5800

Fax

(303) 785-5801

NPI assigned

Jul 27, 2021

Organization subpart

No

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

Authorized official

Name

Sandra Foat

Title

Controller

Phone

(847) 807-9625

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1497428353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12975 SHERIDAN BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201477",
            "telephone_number": "303-785-5800",
            "fax_number": "303-785-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12975 SHERIDAN BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201477",
            "telephone_number": "303-785-5800",
            "fax_number": "303-785-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOMFIELD SKILLED NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "FOAT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "847-807-9625"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000153844",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broomfield Pediatrics PLLC
• Broomfield Pediatrics, Inc
• Broomfield Plaza Family Dentistry
• Broomfield Premier Dentistry, PC
• Broomfield Skilled Nursing and Rehabilitation Center, LLC
• Cora Brotherton
• Catherine Brown, LPCC
• Erin Brown, COTA/L
• Julie W. Brown, FNP-C
• Kathy (Kathleen) Kay Brown, MS, CNM

• Respite Care in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Respite Care in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.