Doug Allen Brown

Individual provider Active NPI Assisted Living Facility · Rifle, CO

NPI 1891322962 · NPPES record last updated Mar 26, 2020

Key facts

NPI
1891322962
Entity type
Individual (NPI type 1)
Primary specialty
Assisted Living Facility 310400000X
Practice address
375 W 24TH St
Rifle, CO 81650-3247
Phone
(719) 373-0185
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Tco Rifle, LLC Assisted Living Facility Current
since May 24, 2020
Accepting new patients

Locations

375 W 24th St
Rifle, CO 81650
Phone (719) 373-0185

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

375 W 24TH St
Rifle, CO 81650-3247

Mailing address

PO Box 7067
Colorado Springs, CO 80933-7067
Phone (719) 373-0185

Other providers in Rifle, CO

All providers in Rifle, CO · Assisted Living Facility in Colorado

Sources for this page

Verify at the official NPI Registry.