Provider Demographics
NPI:1891338083
Name:THE RISING SUN SENIOR HOME AT BELMAR INC.
Entity Type:Organization
Organization Name:THE RISING SUN SENIOR HOME AT BELMAR INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGYAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-989-0301
Mailing Address - Street 1:835 S. FLOWER ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226
Mailing Address - Country:US
Mailing Address - Phone:303-989-0301
Mailing Address - Fax:303-989-0450
Practice Address - Street 1:835 S. FLOWER ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226
Practice Address - Country:US
Practice Address - Phone:303-989-0301
Practice Address - Fax:303-989-0450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility