Organization
SNH CO TENANT LLC
Active
Parent organization
SNH CO TENANT LLC
Other names
Skyline Ridge Nursing and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SNH CO TENANT LLC
Authorized official
CHRISTOPHER BILOTTO (PRESIDENT, CEO, & MANAGING TRUSTEE)
(617) 796-8350
Entity
Organization
Contact information
Practice address
515 FAIRVIEW AVE, CANON CITY, CO 81212-2863
(719) 275-0665
(719) 275-6225
Mailing address
255 WASHINGTON ST STE 300, NEWTON, MA 02458-1634
(617) 796-8350
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CO
Enumeration date
09/26/2019
Last updated
03/18/2025
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