Provider Demographics
NPI:1275957151
Name:EVERETT COURT OPERATIONS, LLC
Entity Type:Organization
Organization Name:EVERETT COURT OPERATIONS, LLC
Other - Org Name:FOOTHILLS REHABILITATION AND SKILLED NURSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:CALE
Authorized Official - Last Name:WESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-326-0623
Mailing Address - Street 1:1320 EVERETT CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-4830
Mailing Address - Country:US
Mailing Address - Phone:720-491-1934
Mailing Address - Fax:866-924-5211
Practice Address - Street 1:1320 EVERETT CT
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4830
Practice Address - Country:US
Practice Address - Phone:720-491-1934
Practice Address - Fax:866-924-5211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility