Active NPI
Lifelink Health Care LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Denver, CO
National Provider Identifier
1043165293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- LIFELINK HEALTH CARE LLC
- Practice address
- 4826 Gibraltar St
Denver, CO 80249-7522 - Phone
- (720) 495-3672
- NPI assigned
- Mar 3, 2026
- 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
- Amanuel T Boku
- Title
- Executive Director
- Phone
- (720) 495-3672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
4826 Gibraltar St
Denver, CO 80249-7522
Mailing address
4826 Gibraltar St
Denver, CO 80249-7522
Phone (720) 495-3672
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1043165293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4826 GIBRALTAR ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802497522",
"telephone_number": "720-495-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4826 GIBRALTAR ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802497522",
"telephone_number": "720-495-3672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFELINK HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "BOKU",
"authorized_official_first_name": "AMANUEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "720-495-3672"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.