Provider Demographics
NPI:1164631339
Name:SUNRISE WESTMINSTER ASSISTED LIVING, LLC
Entity Type:Organization
Organization Name:SUNRISE WESTMINSTER ASSISTED LIVING, LLC
Other - Org Name:SUNRISE OF WESTMINSTER
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-410-0500
Mailing Address - Street 1:10280 SHERIDAN BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80020-3341
Mailing Address - Country:US
Mailing Address - Phone:303-410-0500
Mailing Address - Fax:
Practice Address - Street 1:10280 SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80020-3341
Practice Address - Country:US
Practice Address - Phone:303-410-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAL-0125310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility