NPIMap

Organization Active NPI

Colorado Addiction Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Aurora, CO
National Provider Identifier
1114669017
Registry record updated Sep 29, 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
4916 S Buchanan St
Aurora, CO 80016-5949
Phone
(973) 277-5359
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Bryan 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

4916 S Buchanan St
Aurora, CO 80016-5949

Mailing address

6613 N Scottsdale Rd Ste 200
Scottsdale, AZ 85250-7804

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": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1114669017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6613 N SCOTTSDALE RD STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 S BUCHANAN ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165949",
            "telephone_number": "973-277-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ADDICTION RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "DISIMONE",
        "authorized_official_first_name": "BRYAN",
        "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 Sep 29, 2022; 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.