Active NPI
Easley Senior Care LLC
- Assisted Living Facility
- Arvada, CO
National Provider Identifier
1003427311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2187115 | Easley Senior Care LLC | Certificate of waiver | Jun 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.