Provider Demographics
NPI:1104549849
Name:TERRA BLUFFS VENTURES OP CO, LP
Entity type:Organization
Organization Name:TERRA BLUFFS VENTURES OP CO, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-798-3770
Mailing Address - Street 1:8797 S CHAMBERS RD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3367
Mailing Address - Country:US
Mailing Address - Phone:720-798-3770
Mailing Address - Fax:
Practice Address - Street 1:8797 S CHAMBERS RD
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3367
Practice Address - Country:US
Practice Address - Phone:720-798-3770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility