Provider Demographics
NPI:1437254612
Name:CENTURA VENTURES, LLC
Entity type:Organization
Organization Name:CENTURA VENTURES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP POST-ACUTE CARE
Authorized Official - Prefix:MS
Authorized Official - First Name:STACY
Authorized Official - Middle Name:L
Authorized Official - Last Name:RAGOGNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-673-7140
Mailing Address - Street 1:PO BOX 1327
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443-1327
Mailing Address - Country:US
Mailing Address - Phone:970-668-5604
Mailing Address - Fax:970-668-3189
Practice Address - Street 1:68 SCHOOL RD
Practice Address - Street 2:STE 200
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443-1327
Practice Address - Country:US
Practice Address - Phone:970-668-5604
Practice Address - Fax:970-668-3189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO05701164Medicaid
CO04141271OtherHCBS
CO057001164Medicaid
CO05701164Medicaid
O60744Medicare UPIN