SSC Denver Red Rocks Operating Company LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

SSC DENVER RED ROCKS OPERATING COMPANY LLC

Practice address

4450 E Jewell Ave
Denver, CO 80222-4605

Phone

(303) 757-7438

NPI assigned

Apr 25, 2018

Organization subpart

Yes

Parent organization

JEWELL CARE CENTER OF DENVERAs reported in NPPES

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

Authorized official

Name

Ken Pitts

Title

Director Reimbursement

Phone

(832) 467-6793

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jewell Care Center of Denver Doing business as

Part of

SSC Denver Red Rocks Operating Company LLC

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1770071854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415162",
            "telephone_number": "862-467-6000",
            "fax_number": "832-467-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 E JEWELL AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224605",
            "telephone_number": "303-757-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC DENVER RED ROCKS OPERATING COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEWELL CARE CENTER OF DENVER",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "DIRECTOR REIMBURSEMENT",
        "authorized_official_telephone_number": "832-467-6793"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000159497",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jewell Care Center of Denver",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jewell Care Center of Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Srock, MD
• Emily Rose Srodon, COTA/L
• Barry Sroloff, PSYD
• SS Home Care Agency LLC
• SS Transportation
• SSC Denver Red Rocks Operating Company LLC
• SSC Denver South Monaco Operating Company LLC
• St Anthony Regional Mountain Cancer Center, LLC
• M N St Arnault, MD
• Carole Nancy St Germain

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.