Provider Demographics
NPI:1619462660
Name:THE CHATEAUS, LLC, D/B/A COLUMBINE CHATEAU
Entity Type:Organization
Organization Name:THE CHATEAUS, LLC, D/B/A COLUMBINE CHATEAU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-566-1185
Mailing Address - Street 1:720 E SPRINGMONT DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81007-3526
Mailing Address - Country:US
Mailing Address - Phone:719-566-1185
Mailing Address - Fax:719-582-1326
Practice Address - Street 1:720 E SPRINGMONT DR
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81007-3526
Practice Address - Country:US
Practice Address - Phone:719-566-1185
Practice Address - Fax:719-582-1326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO23D501310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility