Active NPI
247 Avare Healthcare Premier LTD
- Home Health Agency
- Aurora, CO
National Provider Identifier
1013404490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 04K480
- Legal business name
- 247 AVARE HEALTHCARE PREMIER LTD
- Practice address
- 22401 E Union Cir
Aurora, CO 80015-5540 - Phone
- (303) 710-5723
- NPI assigned
- Apr 20, 2018
- 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
- Artur Akhmetov
- Title
- Administrator
- Phone
- (303) 710-5723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 04K480 | CO | Primary |
Addresses
Primary practice location
22401 E Union Cir
Aurora, CO 80015-5540
Mailing address
22401 E Union Cir
Aurora, CO 80015-5540
Phone (303) 710-5723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04K480 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538092800000",
"number": "1013404490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22401 E UNION CIR",
"city": "AURORA",
"state": "CO",
"postal_code": "800155540",
"telephone_number": "303-710-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22401 E UNION CIR",
"city": "AURORA",
"state": "CO",
"postal_code": "800155540",
"telephone_number": "303-710-5723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "247 AVARE HEALTHCARE PREMIER LTD",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-20",
"last_updated": "2018-09-28",
"status": "A",
"authorized_official_last_name": "AKHMETOV",
"authorized_official_first_name": "ARTUR",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "303-710-5723"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CO",
"license": "04K480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04K480",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.