Organization Active NPI

Mile High Care Services LLC

  • Skilled Nursing Facility
  • Lakewood, CO
National Provider Identifier
1750431912
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0185 Issued in CO
Legal business name
MILE HIGH CARE SERVICES LLC
Practice address
115 Ingalls St
Lakewood, CO 80226-1815
Phone
(303) 237-1325
Fax
(303) 237-3397
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen Wester
Title
Administrator
Phone
(303) 237-1325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0185 CO Primary

Addresses

Primary practice location

115 Ingalls St
Lakewood, CO 80226-1815

Mailing address

115 Ingalls St
Lakewood, CO 80226-1815
Phone (303) 237-1325

Other identifiers 3

IdentifierTypeStateIssuer
05651476MedicaidCO
7100568OtherCOEVERCARE
93837241OtherCORESPITE

National Provider Directory

National Provider Directory

Locations

115 Ingalls St
Lakewood, CO 80226
Phone (303) 237-1325

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750431912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 INGALLS ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261815",
            "telephone_number": "303-237-1325",
            "fax_number": "303-237-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 INGALLS ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261815",
            "telephone_number": "303-237-1325",
            "fax_number": "303-237-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-237-1325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05651476",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "7100568",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPITE",
            "identifier": "93837241",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • 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.