Provider Demographics
NPI:1780629030
Name:GERI-CARE INC
Entity Type:Organization
Organization Name:GERI-CARE INC
Other - Org Name:GRAND OAKS CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:A
Authorized Official - Middle Name:CLAUDINE
Authorized Official - Last Name:HOITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-424-8881
Mailing Address - Street 1:1150 OAK ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-4408
Mailing Address - Country:US
Mailing Address - Phone:303-238-7505
Mailing Address - Fax:303-238-7534
Practice Address - Street 1:1150 OAK ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4408
Practice Address - Country:US
Practice Address - Phone:303-238-7505
Practice Address - Fax:303-238-7534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0742314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO05650239Medicaid
065023Medicare ID - Type Unspecified