Provider Demographics
NPI:1851526560
Name:LSREF GOLDEN OPS 26 (CO), LLC
Entity Type:Organization
Organization Name:LSREF GOLDEN OPS 26 (CO), LLC
Other - Org Name:NORTHGLENN HEIGHTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPSHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-436-7662
Mailing Address - Street 1:500 STEVENS AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2055
Mailing Address - Country:US
Mailing Address - Phone:858-436-7662
Mailing Address - Fax:858-314-1734
Practice Address - Street 1:11475 PEARL ST
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-1942
Practice Address - Country:US
Practice Address - Phone:303-456-4462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility