NPIMap

Organization Active NPI

Colorado Addiction Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Aurora, CO
National Provider Identifier
1114634862
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COLORADO ADDICTION RECOVERY SERVICES
Practice address
3399 S Ensenada Way
Aurora, CO 80013-3716
Phone
(303) 268-1071
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Bryan Matthew Disimone
Title
Operations Director
Phone
(973) 277-5359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

3399 S Ensenada Way
Aurora, CO 80013-3716

Mailing address

3399 S Ensenada Way
Aurora, CO 80013-3716
Phone (303) 268-1071

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2275552Colorado Addiction Recovery Services3399 S Ensenada Dr, Aurora, CO 80013Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Colorado Addiction Recovery Services12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1114634862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 S ENSENADA WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800133716",
            "telephone_number": "303-268-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 S ENSENADA WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800133716",
            "telephone_number": "303-268-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ADDICTION RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "DISIMONE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "973-277-5359"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.