1982583357 NPI number — SILVER KEY SENIOR SERVICES, INC.

Table of content: MARY HELEN LUNDEEN MS (NPI 1124513155)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982583357 NPI number — SILVER KEY SENIOR SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SILVER KEY SENIOR SERVICES, INC.
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:
1982583357
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/29/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1625 S MURRAY BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLORADO SPRINGS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80916-4502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
719-884-2300
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1625 S MURRAY BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLORADO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80916-4502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-884-2300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2025

Additional Information

Authorized Official

Authorized Official Last Name:
DEABUENO
Authorized Official First Name:
JASON
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT AND CEO
Authorized Official Telephone Number:
719-884-2310

Provider Taxonomy Codes

  • Taxonomy code: 175T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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