Organization Name: | BLC - VILLAGE AT SKYLINE, LLC |
NPI Number: | 1003865635 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN P RIJOS (PRESIDENT) |
Mailing Address: | 2365 Patriot Hts Colorado Springs |
State: | CO US |
Postal Code: | 809045122 |
Phone Number: | 7196675360 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 01/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AL-0381 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |