Provider Demographics
NPI:1861450371
Name:ANESTHESIA CARE ENTERPRISES, LLC
Entity Type:Organization
Organization Name:ANESTHESIA CARE ENTERPRISES, LLC
Other - Org Name:HEALTHSOUTH ANESTHESIA GROUP, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AMI
Authorized Official - Middle Name:E
Authorized Official - Last Name:GRUBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-231-3233
Mailing Address - Street 1:3000 S JAMAICA CT STE 140
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4601
Mailing Address - Country:US
Mailing Address - Phone:720-231-3233
Mailing Address - Fax:
Practice Address - Street 1:3000 S JAMAICA CT STE 140
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4601
Practice Address - Country:US
Practice Address - Phone:720-231-3233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65940710Medicaid
KY74900747Medicaid
KY65940710Medicaid
DA9323Medicare PIN