Organization Active NPI

Colorado Assisted Living Homes

  • Point of Service
  • Littleton, CO
National Provider Identifier
1104286376
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
2304JT Issued in CO
Legal business name
COLORADO ASSISTED LIVING HOMES
Practice address
7456 S Kendall Blvd
Littleton, CO 80128-4682
Phone
(303) 324-0834
Fax
(303) 948-0570
NPI assigned
Mar 2, 2016
Organization subpart
Yes
Parent organization
COLORADO ASSISTED LIVING HOMESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Ms. Michelle T Simonaitis
Title
Owner
Phone
(303) 324-0834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 2304JT CO Primary

Addresses

Primary practice location

7456 S Kendall Blvd
Littleton, CO 80128-4682

Mailing address

6638 W Ottawa Ave
Suite 150-1
Littleton, CO 80128-4562
Phone (303) 324-0834

Other identifiers 1

IdentifierTypeStateIssuer
14902338MedicaidCO

Other names 1

  • Columbine Assisted Living Management INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Colorado Assisted Living Homes3 organizations share this tax ID, including this one
Part of
Colorado Assisted Living Homes

Other organizations with this tax ID 2

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

Locations

6638 W Ottawa Ave
Ste 1501
Littleton, CO 80128

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1104286376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6638 W OTTAWA AVE",
            "address_2": "SUITE 150-1",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284562",
            "telephone_number": "303-324-0834",
            "fax_number": "303-948-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7456 S KENDALL BLVD",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284682",
            "telephone_number": "303-324-0834",
            "fax_number": "303-948-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ASSISTED LIVING HOMES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO ASSISTED LIVING HOMES",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "SIMONAITIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-324-0834",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CO",
            "license": "2304JT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14902338",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbine Assisted Living Management INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.