Provider Demographics
NPI:1073208880
Name:MOUNTAIN SUN ENTERPRISES
Entity Type:Organization
Organization Name:MOUNTAIN SUN ENTERPRISES
Other - Org Name:CARING SENIOR SERVICE OF LITTLETON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:COKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-279-0719
Mailing Address - Street 1:1826 S SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3117
Mailing Address - Country:US
Mailing Address - Phone:404-279-0719
Mailing Address - Fax:
Practice Address - Street 1:1826 S SHERMAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3117
Practice Address - Country:US
Practice Address - Phone:404-279-0719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care