RENOTTA HEALTH CARE SYSTEMS, INC
Assisted Living Facility
Wray, Colorado
Provider NPI: 1053310839
Organization Information:Organization Name: RENOTTA HEALTH CARE SYSTEMS, INC
Practice Location:
360 CANYON RIDGE DR WRAY, CO 80758 US
Tel: 970-332-4856 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
360 CANYON RIDGE DR WRAY, CO 80758 US
Tel: 970-332-4856 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | CO | AL-842 |
N | 385H00000X | Respite Care Facility Respite Care | CO | 94871868 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CO | 0668 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
73953377 | CO | 05 | |
14624371 | CO | 05 | |
94871868 | CO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin