Provider Demographics
NPI:1528437522
Name:SANDSTONE CARE COLORADO, LLC
Entity type:Organization
Organization Name:SANDSTONE CARE COLORADO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-423-2469
Mailing Address - Street 1:930 S PEARL ST
Mailing Address - Street 2:UNIT 103
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4262
Mailing Address - Country:US
Mailing Address - Phone:240-423-2469
Mailing Address - Fax:
Practice Address - Street 1:2100 S CHERRY ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5036
Practice Address - Country:US
Practice Address - Phone:240-423-2469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANDSTONE CARE HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-20
Last Update Date:2015-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health