Provider Demographics
NPI:1871578039
Name:CHRISTIAN LIVING NEIGHBORHOODS
Entity type:Organization
Organization Name:CHRISTIAN LIVING NEIGHBORHOODS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-974-3504
Mailing Address - Street 1:9570 S KINGSTON CT STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6004
Mailing Address - Country:US
Mailing Address - Phone:720-974-3555
Mailing Address - Fax:720-974-3583
Practice Address - Street 1:5000 E ARAPAHOE RD
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-2302
Practice Address - Country:US
Practice Address - Phone:303-779-5000
Practice Address - Fax:303-779-1570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0271310400000X
CO314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO37976231Medicaid
CO37976231Medicaid