Provider Demographics
NPI:1922147784
Name:W III, INC.
Entity Type:Organization
Organization Name:W III, INC.
Other - Org Name:WESTLAKE CARE COMMUNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BEDINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-421-3600
Mailing Address - Street 1:1655 EATON ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-1628
Mailing Address - Country:US
Mailing Address - Phone:303-238-5363
Mailing Address - Fax:303-238-7062
Practice Address - Street 1:1655 EATON ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-1628
Practice Address - Country:US
Practice Address - Phone:303-238-5363
Practice Address - Fax:303-238-7062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0942314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO05655410Medicaid
CO05655410Medicaid