Provider Demographics
NPI:1437682911
Name:CONGREGATION OF SISTERS OF CHARITY
Entity Type:Organization
Organization Name:CONGREGATION OF SISTERS OF CHARITY
Other - Org Name:ST. ANNA'S HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HYUN
Authorized Official - Middle Name:SOOK
Authorized Official - Last Name:SOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-627-2986
Mailing Address - Street 1:13901 E QUINCY AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1055
Mailing Address - Country:US
Mailing Address - Phone:303-627-2986
Mailing Address - Fax:720-379-6308
Practice Address - Street 1:13901 E QUINCY AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1055
Practice Address - Country:US
Practice Address - Phone:303-627-2986
Practice Address - Fax:720-379-6308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO23I154385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care