Provider Demographics
NPI:1326848755
Name:BEACON WOUND CARE, PC
Entity type:Organization
Organization Name:BEACON WOUND CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:GRAFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-981-1727
Mailing Address - Street 1:9980 SILVER MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-5469
Mailing Address - Country:US
Mailing Address - Phone:303-981-1727
Mailing Address - Fax:720-378-4377
Practice Address - Street 1:1555 XAVIER ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2111
Practice Address - Country:US
Practice Address - Phone:303-981-1727
Practice Address - Fax:720-378-4377
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEACON WOUND CARE, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty