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ROBERT RUSSELL EASTERN STAR MASONIC CENTER
NPI 1033381066
Assisted Living Facility in Denver, CO

Active since March 31, 2008
2445 S QUEBEC ST, DENVER, CO 80231(303) 753-2172 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Robert Russell Eastern Star Masonic Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT RUSSELL EASTERN STAR MASONIC CENTER (NPI 1033381066) is a healthcare organization registered as an assisted living facility in Denver, Colorado and active in the NPI registry since March 2008. The organization lists Matthew Wistreich, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1033381066
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameROBERT RUSSELL EASTERN STAR MASONIC CENTER
Location Address2445 S QUEBEC STDenver, CO 80231-6030
Mailing Address2445 S Quebec StDenver, CO 80231-6030 · (303) 753-2172
Phone(303) 753-2172
Organization SubpartNo
Authorized OfficialMatthew WistreichExecutive Director · (303) 753-2174
Enumeration DateMarch 31, 2008
✔ NPI 1033381066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CO · 2304HP
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2445 S QUEBEC ST, Denver, CO 80231
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Other Identifiers 1

Medicaid04183240CO

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT RUSSELL EASTERN STAR MASONIC CENTER
Assisted Living Facility
2445 S QUEBEC ST
DENVER, CO 80231
Arapahoe County (303) 756-9489
KARLIE GEHRIG OTR/L
Occupational Therapist
2445 S QUEBEC ST
DENVER, CO 80231
Arapahoe County (303) 756-9489

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Russell Eastern Star Masonic Center's NPI number?

The NPI number for Robert Russell Eastern Star Masonic Center is 1033381066. It was assigned to this organization in the NPPES registry on March 31, 2008.

Where is Robert Russell Eastern Star Masonic Center located?

Robert Russell Eastern Star Masonic Center is located at 2445 S Quebec St, Denver, CO 80231. The listed phone number is (303) 753-2172.

What is Robert Russell Eastern Star Masonic Center's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Robert Russell Eastern Star Masonic Center was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.