Organization Active NPI

Golden Peak Recovery

  • Substance Abuse Rehabilitation Facility
  • Lakewood, CO
National Provider Identifier
1093389470
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GOLDEN PEAK RECOVERY
Practice address
2305 S Fenton Dr
Lakewood, CO 80227-3975
Phone
(855) 694-8619
Fax
(305) 930-7437
NPI assigned
May 19, 2021
Organization subpart
Yes
Parent organization
GOLDEN PEAK RECOVERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Nurys Puente
Title
Revenue Cycle Director
Phone
(855) 694-8619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2305 S Fenton Dr
Lakewood, CO 80227-3975

Mailing address

2305 S Fenton Dr
Lakewood, CO 80227-3975
Phone (855) 694-8619

Other names 1

  • Golden Peak Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Golden Peak Recovery3 organizations share this tax ID, including this one
Part of
Golden Peak Recovery

Other organizations with this tax ID 2

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

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1093389470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S FENTON DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273975",
            "telephone_number": "855-694-8619",
            "fax_number": "305-930-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S FENTON DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273975",
            "telephone_number": "855-694-8619",
            "fax_number": "305-930-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PEAK RECOVERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLDEN PEAK RECOVERY",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "PUENTE",
        "authorized_official_first_name": "NURYS",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "855-694-8619"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Peak Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.