Organization
FIVE STAR QUALITY CARE-COLORADO LLC
Active
Parent organization
FIVE STAR QUALITY CARE-COLORADO LLC
Other names
Skyline Ridge Apartments and Nursing & Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR QUALITY CARE-COLORADO LLC
Authorized official
KATERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
515 FAIRVIEW AVE, CANON CITY, CO 81212-2863
(719) 275-0665
(719) 275-6225
Mailing address
400 CENTRE ST, NEWTON, MA 02458-2094
(617) 796-8387
(617) 796-8375
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1091
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72008041
—
CO
Enumeration date
05/24/2006
Last updated
03/26/2019
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