Prairie Waters Healthcare, Inc.
NPI 1093574964ActiveOrganization· Skilled Nursing Facility· Aurora, CO
Skilled Nursing Facility in Aurora, Colorado, registered in NPPES in March 2024. The authorized official on file is Soon Burnam, Treasurer. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1093574964 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2024 |
| Last updated in NPPES | Aug 30, 2024 |
| Certified by provider | Aug 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CO) |
|---|
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