Organization
STATE OF COLORADO
Active
Parent organization
STATE OF COLORADO
Other names
Colorado Veterans Community Living Center Homelake
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF COLORADO
Authorized official
GINGER BUTERO (ACCOUNTANT)
(719) 852-5118
Entity
Organization
Contact information
Practice address
3749 SHERMAN AVE, MONTE VISTA, CO 81144-9403
(719) 852-8211
(719) 852-3881
Mailing address
PO BOX 97, HOMELAKE, CO 81135-0097
(719) 852-8211
(719) 852-3881
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000179367
—
CO
Enumeration date
04/21/2021
Last updated
04/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us