NPIMap

Organization Active NPI

Project Worthmore

  • Voluntary or Charitable Agency
  • Aurora, CO
National Provider Identifier
1104244516
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
000905629 Issued in CO
Legal business name
PROJECT WORTHMORE
Practice address
1666 Elmira St
Aurora, CO 80010-2122
Phone
(720) 460-0995
Fax
(877) 434-7701
NPI assigned
Apr 2, 2014
Organization subpart
Yes
Parent organization
PROJECT WORTHMOREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Carolyn Anello, RDH
Title
Program Manager
Phone
(720) 460-0995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 000905629 CO Primary

Addresses

Primary practice location

1666 Elmira St
Aurora, CO 80010-2122

Mailing address

1666 Elmira St
Aurora, CO 80010-2122
Phone (720) 460-0995

Other identifiers 1

IdentifierTypeStateIssuer
83377310MedicaidCO

Other names 1

  • Worthmore Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Project Worthmore4 organizations share this tax ID, including this one
Part of
Project Worthmore

Other organizations with this tax ID 3

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

Locations

1532 Galena St
Ste 380
Aurora, CO 80010
Phone (720) 450-0995

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1104244516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 ELMIRA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102122",
            "telephone_number": "720-460-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 ELMIRA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102122",
            "telephone_number": "720-460-0995",
            "fax_number": "877-434-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT WORTHMORE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROJECT WORTHMORE",
        "enumeration_date": "2014-04-02",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "ANELLO",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "720-460-0995",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CO",
            "license": "000905629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83377310",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Worthmore Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 28, 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.