Provider Demographics
NPI:1225827959
Name:SENIOR CARE ASSISTED LIVING JERSEY HOUSE INC
Entity type:Organization
Organization Name:SENIOR CARE ASSISTED LIVING JERSEY HOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HOKBENG
Authorized Official - Middle Name:
Authorized Official - Last Name:KHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-435-7163
Mailing Address - Street 1:2640 S JERSEY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6322
Mailing Address - Country:US
Mailing Address - Phone:720-435-7163
Mailing Address - Fax:303-757-4566
Practice Address - Street 1:2640 S JERSEY ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6322
Practice Address - Country:US
Practice Address - Phone:720-435-7163
Practice Address - Fax:303-757-4566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility