Organization · Type 2 NPI

SNH Co Tenant LLC

Skilled Nursing Facility · Canon City, CO

NPI number 1629629183 Active

Practice location

515 Fairview Ave
Canon City, CO 81212-2863

Call (719) 275-0665 Map

Fax (719) 275-6225

Mailing address

255 Washington St Ste 300
Newton, MA 02458-1634

Specialties and licenses

Taxonomy	Code	License
Alzheimer Center (Dementia Center)	311500000X	None listed
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

15 other providers at this address

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NPI record

NPI: 1629629183
Entity type: Organization (Type 2)
Issued: Sep 26, 2019
Last updated: Mar 18, 2025
Status: Active
Subpart: Yes of SNH Co Tenant LLC

Other names

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Skyline Ridge Nursing and Rehabilitation Center · doing business as
Skyline Ridge Nursing and Rehabilitation Center · doing business as

Authorized official

Christopher Bilotto
President, CEO, & Managing Trustee
(617) 796-8350

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629629183

SNH Co Tenant LLC's National Provider Identifier is 1629629183, issued on Sep 26, 2019. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Canon City, CO. The record was last updated on Mar 18, 2025.