Provider Demographics
NPI:1821461468
Name:STEINER SILS, LLC
Entity Type:Organization
Organization Name:STEINER SILS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-867-8767
Mailing Address - Street 1:115 W BIJOU AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MORGAN
Mailing Address - State:CO
Mailing Address - Zip Code:80701-2142
Mailing Address - Country:US
Mailing Address - Phone:970-867-8767
Mailing Address - Fax:970-867-2677
Practice Address - Street 1:115 W BIJOU AVE
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-2142
Practice Address - Country:US
Practice Address - Phone:970-867-8767
Practice Address - Fax:970-867-2677
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEINER SILS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-04
Last Update Date:2016-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04Q658311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO59800062Medicaid