Provider Demographics
NPI:1699355594
Name:MB MANAGEMENT - AURORA SENIOR LIVING
Entity Type:Organization
Organization Name:MB MANAGEMENT - AURORA SENIOR LIVING
Other - Org Name:ROCK CREEK ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-288-0088
Mailing Address - Street 1:1601 N SEPULVEDA BLVD # 643
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-5111
Mailing Address - Country:US
Mailing Address - Phone:424-288-0088
Mailing Address - Fax:
Practice Address - Street 1:1994 S KENTON CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4709
Practice Address - Country:US
Practice Address - Phone:424-288-0088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility