1376319574 NPI number — DESTINY POST ACUTE CARE SERVICES P.C

Table of content: DR. MARGARET MARY GILMORE M.D. (NPI 1649357146)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376319574 NPI number — DESTINY POST ACUTE CARE SERVICES P.C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DESTINY POST ACUTE CARE SERVICES P.C
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376319574
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7665 S EATON PARK CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AURORA
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80016-4293
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-324-4777
Provider Business Mailing Address Fax Number:
720-262-4788

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1550 S POTOMAC ST STE 110
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80012-5433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-324-4777
Provider Business Practice Location Address Fax Number:
720-262-4788
Provider Enumeration Date:
11/29/2023

Additional Information

Authorized Official

Authorized Official Last Name:
ABUABA
Authorized Official First Name:
ROMANO
Authorized Official Middle Name:
N
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
720-324-4777

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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