Provider Demographics
NPI:1386868800
Name:CHRISTIAN LIVING COMMUNITIES
Entity type:Organization
Organization Name:CHRISTIAN LIVING COMMUNITIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:TROUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-974-3507
Mailing Address - Street 1:7000 E BELLEVIEW AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1617
Mailing Address - Country:US
Mailing Address - Phone:720-974-3560
Mailing Address - Fax:720-974-3561
Practice Address - Street 1:4761 E COSTILLA AVE
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-2397
Practice Address - Country:US
Practice Address - Phone:303-741-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAL-0270310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility