Organization
SSC STERLING OPERATING COMPANY LLC
Active
Other names
Sterling Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
1420 S 3RD AVE, STERLING, CO 80751-4650
(970) 522-2933
(970) 522-4818
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1305
CO
385H00000X
Respite Care
1305
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41478762
—
CO
01
—
81374755
PREVIOUS MEDICAID NUMBER
CO
05
—
85531278
—
CA
Enumeration date
07/01/2005
Last updated
11/17/2020
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