Provider Demographics
NPI:1447383377
Name:THE WORTHINGTON, INC
Entity type:Organization
Organization Name:THE WORTHINGTON, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHI
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER-CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-495-1000
Mailing Address - Street 1:900 CENTRE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1848
Mailing Address - Country:US
Mailing Address - Phone:970-495-1000
Mailing Address - Fax:970-495-0626
Practice Address - Street 1:900 CENTRE AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1848
Practice Address - Country:US
Practice Address - Phone:970-495-1000
Practice Address - Fax:970-495-0626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAL1001310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility