SKIN HOLISTIC DERMAGRAPHIC CLINIC
NPI 1417334806
Skilled Nursing Facility in Broomfield, CO

Active since May 05, 2015
413 SUMMIT BLVD, UNIT 104, BROOMFIELD, CO 80021(303) 440-6611(720) 550-8995 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Skin Holistic Dermagraphic Clinic NPPES

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

SKIN HOLISTIC DERMAGRAPHIC CLINIC (NPI 1417334806) is a healthcare organization registered as a skilled nursing facility in Broomfield, Colorado and active in the NPI registry since May 2015. The organization lists Gywnn Wolfstar, Registered Nurse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417334806
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSKIN HDC
Location Address413 SUMMIT BLVD, UNIT 104Broomfield, CO 80021-8294
Mailing Address413 Summit Blvd, Unit 104Broomfield, CO 80021-8294 · (303) 440-6611 · Fax (720) 550-8995
Fax(720) 550-8995
Organization SubpartNo
Authorized OfficialGywnn WolfstarRegistered Nurse, Ceo · (303) 440-6611
Enumeration DateMay 5, 2015
NPI 1417334806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CO · 0100256
Definition
(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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
413 SUMMIT BLVD, Broomfield, CO 80021

Other Names 1

Other NameSkin Holistic Dermagraphic Clinic

Other Identifiers 1

Other12767902Caqh

Other Providers at the Same Location NPPES 6

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

Physical Therapist
413 SUMMIT BLVD, SUITE 102
BROOMFIELD, CO 80021
Specialist
413 SUMMIT BLVD, #101
BROOMFIELD, CO 80021
Emergency Medical Technician, Paramedic
413 SUMMIT BLVD
BROOMFIELD, CO 80021
Clinic/Center (Dental)
413 SUMMIT BLVD, SUITE 204
BROOMFIELD, CO 80021
Family Medicine
413 SUMMIT BLVD, SUITE 201
BROOMFIELD, CO 80021
Family Medicine
413 SUMMIT BLVD, SUITE 201
BROOMFIELD, CO 80021

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 Skin Hdc's NPI number?

The NPI number for Skin Hdc is 1417334806. It was assigned to this organization in the NPPES registry on May 5, 2015. The provider is also known as Skin Holistic Dermagraphic Clinic.

Where is Skin Hdc located?

Skin Hdc is located at 413 Summit Blvd Unit 104, Broomfield, CO 80021. The listed phone number is (303) 440-6611.

What is Skin Hdc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Skin Hdc was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.