Provider Demographics
NPI:1982799383
Name:HANLON-BUSH INVESTMENTS, LLC
Entity Type:Organization
Organization Name:HANLON-BUSH INVESTMENTS, LLC
Other - Org Name:REHABILITATION AND NURSING CENTER OF THE ROCKIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HANLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-484-7981
Mailing Address - Street 1:1020 PATTON ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-4018
Mailing Address - Country:US
Mailing Address - Phone:970-484-7981
Mailing Address - Fax:970-484-8143
Practice Address - Street 1:1020 PATTON STREET
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-4018
Practice Address - Country:US
Practice Address - Phone:970-484-7981
Practice Address - Fax:970-484-8103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1246314000000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO73787868Medicaid
CO59837071Medicaid
CO73787868Medicaid
CO065192Medicare UPIN