Organization Active NPI

Easley Senior Care LLC

  • Assisted Living Facility
  • Arvada, CO
National Provider Identifier
1003427311
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EASLEY SENIOR CARE LLC
Practice address
17351 W 64TH Ave
Arvada, CO 80007-7796
Phone
(720) 907-9071
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Johnson
Title
Controller
Phone
(303) 597-0562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

17351 W 64TH Ave
Arvada, CO 80007-7796

Mailing address

7555 E Hampden Ave
Denver, CO 80231-4830
Phone (303) 597-0562

Other names 1

  • MorningStar of Arvada Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2187115Easley Senior Care LLC17351 West 64TH Avenue, Arvada, CO 80007Certificate of waiverJun 24, 2028

National Provider Directory

National Provider Directory

Locations

7555 E Hampden Ave
Denver, CO 80231
Phone (303) 898-3460

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1003427311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 E HAMPDEN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314830",
            "telephone_number": "303-597-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17351 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077796",
            "telephone_number": "720-907-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASLEY SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "303-597-0562"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MorningStar of Arvada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.