Provider Demographics
NPI:1265052500
Name:A1 RESTORATIVE CARE
Entity type:Organization
Organization Name:A1 RESTORATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROZELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAWTHORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-301-1369
Mailing Address - Street 1:1657 S DEGAULLE WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018
Mailing Address - Country:US
Mailing Address - Phone:720-301-1369
Mailing Address - Fax:
Practice Address - Street 1:4050 S FOX ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-4563
Practice Address - Country:US
Practice Address - Phone:303-783-4989
Practice Address - Fax:303-635-6719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility