| Organization Name: | SSC BRUSH SUNSET MANOR OPERATING COMPANY LLC |
| NPI Number: | 1841310737 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KELLE C SANTORO (SR DIRECTOR AR) |
| Mailing Address: | 2200 Edison St Brush |
| State: | CO US |
| Postal Code: | 807231609 |
| Phone Number: | 9708422825 |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 04/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 0068 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |