Seniors' Resource Center, Inc. Evergreen

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

04G940 Issued in CO

Legal business name

SENIORS' RESOURCE CENTER, INC. EVERGREEN

Practice address

5120 Highway 73
Evergreen, CO 80439-7301

Phone

(303) 674-2843

Fax

(303) 674-8874

NPI assigned

Feb 6, 2017

Last updated

Feb 6, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

SENIORS' RESOURCE CENTER, INC.As reported in NPPES

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

Authorized official

Name

John Zabawa

Title

President/Ceo

Phone

(303) 238-8151

Specialties & licenses 4

Addresses

Other identifiers 2

Tax ID family

Seniors' Resource Center Inc Starr3 organizations share this tax ID, including this one

Part of

Seniors' Resource Center Inc Starr

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Seniors' Resource Center, Inc Starr

  • Adult Day Care Clinic/Center
  • Lakewood, CO
  • NPI 1386182871
  NPD tax ID
• Seniors' Resource Center, Inc.

  • Home Health Agency
  • Wheat Ridge, CO
  • NPI 1821123050
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Seniors' Resource Center, Inc.

  • Home Health Agency
  • Wheat Ridge, CO
  • NPI 1821123050
  NPPES parent name

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1043758527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 CHASE ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "802127033",
            "telephone_number": "303-238-8151",
            "fax_number": "303-238-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 HIGHWAY 73",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397301",
            "telephone_number": "303-674-2843",
            "fax_number": "303-674-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORS' RESOURCE CENTER, INC. EVERGREEN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIORS' RESOURCE CENTER, INC.",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "ZABAWA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "303-238-8151"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04G940",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06000764",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04138632",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Rae Sclar, PA-C
• Randall F Sclar, PA
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• Gina-Marie Searle, D.D.S.
• Select Physical Therapy of West Denver Limited Partnership (Select Physical Therapy)
• Danielle A Serra, PTA
• Seven Dimensions Behavioral Health, LLC
• Seven Dimensions Behavioral Health, LLC
• Taylor Alexandra Sexton, PT, DPT
• Lindsey Shanks, IDMT

• Home Health Agency in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Home Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.