Provider Demographics
NPI:1851077333
Name:MASON OPERATOR, LLC
Entity Type:Organization
Organization Name:MASON OPERATOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:D
Authorized Official - Last Name:KRAUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-360-8812
Mailing Address - Street 1:4600 S SYRACUSE ST FL 11
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2750
Mailing Address - Country:US
Mailing Address - Phone:303-360-8812
Mailing Address - Fax:303-360-8814
Practice Address - Street 1:5225 COX SMITH RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9276
Practice Address - Country:US
Practice Address - Phone:513-234-5570
Practice Address - Fax:513-234-0508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility