Provider Demographics
NPI:1962183285
Name:HILTON RECEIPT
Entity type:Organization
Organization Name:HILTON RECEIPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PASA
Authorized Official - Prefix:MS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-909-4918
Mailing Address - Street 1:3190 S VAUGHN WAY # 570
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3512
Mailing Address - Country:US
Mailing Address - Phone:720-909-4918
Mailing Address - Fax:
Practice Address - Street 1:3190 S VAUGHN WAY # 570
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3512
Practice Address - Country:US
Practice Address - Phone:720-909-4918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty