NPIMap

Organization Active NPI

Colorado State Veterans Home at Fitzsimons

  • Skilled Nursing Facility
  • Aurora, CO
National Provider Identifier
1073500450
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0666 Issued in CO
Legal business name
COLORADO STATE VETERANS HOME AT FITZSIMONS
Practice address
1919 Quentin St
Aurora, CO 80010-7125
Phone
(720) 857-6400
Fax
(720) 857-6500
NPI assigned
Sep 30, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary NMN Kotz
Title
Administrator
Phone
(720) 857-6423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0666 CO Primary

Addresses

Primary practice location

1919 Quentin St
Aurora, CO 80010-7125

Mailing address

1919 Quentin St
Aurora, CO 80010-7125
Phone (720) 857-6400

Other identifiers 2

IdentifierTypeStateIssuer
15088219MedicaidCO
82159815MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
State of Colorado Department of Public Health and Environment103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073500450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 QUENTIN ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800107125",
            "telephone_number": "720-857-6400",
            "fax_number": "720-857-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 QUENTIN ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800107125",
            "telephone_number": "720-857-6400",
            "fax_number": "720-857-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO STATE VETERANS HOME AT FITZSIMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOTZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-857-6423",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15088219",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82159815",
            "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 Aug 22, 2020; 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.