QL-Rocky Mountain, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020444 Issued in CO

Legal business name

QL-ROCKY MOUNTAIN, LLC

Practice address

2201 N Downing St
Denver, CO 80205-5234

Phone

(303) 861-4825

Fax

(303) 832-4190

NPI assigned

Feb 11, 2016

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Denver North Care Center Doing business as

Tax ID family

Denver North Care Center2 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.

• QL-Rocky Mountain, LLC

  • Skilled Nursing Facility
  • Denver, CO
  • NPI 1013915537
  NPD tax ID

Locations

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1730548256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055234",
            "telephone_number": "303-861-4825",
            "fax_number": "303-832-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N DOWNING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055234",
            "telephone_number": "303-861-4825",
            "fax_number": "303-832-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QL-ROCKY MOUNTAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "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": "020444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69757861",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver North Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pyxis Counseling, LLC
• Qality Tansportation, Inc
• Yazen Qamoh, PHARM.D.
• QL Lowry Park, LLC
• QL-Rocky Mountain, LLC
• QL-Uptown Health Care Center, LLC
• QL-Uptown Health Care Center, LLC
• QS Eyecare LLC
• Stephanie Quach, RPH
• Debra Anne Quadrani, PHARMD

• Skilled Nursing Facility in Denver, CO
• Providers in Denver, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.