Organization
12080 BELLAIRE WAY OPERATIONS LLC
Active
Parent organization
SUNBRIDGE HEALTHCARE LLC
Other names
Elms Haven Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE LLC
Authorized official
MICHAEL T BERG (AUTHORIZED OFFICIAL)
(505) 468-4742
Entity
Organization
Contact information
Practice address
12080 BELLAIRE WAY, THORNTON, CO 80241-3600
(303) 450-2700
(303) 450-2800
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0247
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05652961
—
CO
01
—
522089013
ROCKY MTN HMO
CO
01
—
52208901301
COLORADO ACCESS
CO
01
—
7100494
EVERCARE
CO
Enumeration date
05/11/2006
Last updated
11/08/2021
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