Birch Care Community, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020447 Issued in CO

Legal business name

BIRCH CARE COMMUNITY, LLC

Doing business as

University Heights Rehab and Care

Practice address

656 Dillon Way
Aurora, CO 80011-6803

Phone

(303) 344-0636

Fax

(303) 987-0434

NPI assigned

May 15, 2017

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 2

Other names 1

• University Heights Rehab and Care Doing business as

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1942737440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12136 W BAYAUD AVE STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282115",
            "telephone_number": "303-238-3838",
            "fax_number": "303-987-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 DILLON WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116803",
            "telephone_number": "303-344-0636",
            "fax_number": "303-987-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH CARE COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-11-14",
        "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": "020447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942737440",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "065337",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Heights Rehab and Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Heights Rehab and Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Aaron Bird
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• Rebekah Bird, RDH
• Xavier Daniel Bird
• Pavandeep Birk

• Skilled Nursing Facility in Aurora, CO
• Providers in Aurora, 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 Nov 14, 2017; 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.