Provider Demographics
NPI:1801293386
Name:HOPE'S COLFAX SENIOR CARE
Entity type:Organization
Organization Name:HOPE'S COLFAX SENIOR CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:ALICEN
Authorized Official - Last Name:MOSIMANN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:505-504-0392
Mailing Address - Street 1:HC 62 BOX 81
Mailing Address - Street 2:3.5 MI EAST HWY 87
Mailing Address - City:RATON
Mailing Address - State:NM
Mailing Address - Zip Code:87740-9704
Mailing Address - Country:US
Mailing Address - Phone:505-504-0392
Mailing Address - Fax:575-445-9956
Practice Address - Street 1:251 FRANCIS AVE
Practice Address - Street 2:
Practice Address - City:RATON
Practice Address - State:NM
Practice Address - Zip Code:87740-3721
Practice Address - Country:US
Practice Address - Phone:575-445-3820
Practice Address - Fax:575-445-9956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility