NPIMap

Organization Active NPI

Monaco Adult Day Care

  • Adult Day Care Clinic/Center
  • Denver, CO
National Provider Identifier
1124091020
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MONACO ADULT DAY CARE
Practice address
6825 E Tennessee Ave
# 175
Denver, CO 80224-1628
Phone
(303) 333-2299
Fax
(303) 388-3119
NPI assigned
Feb 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Mr. Marina Ayzenzon
Title
Executive Director
Phone
(303) 333-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

6825 E Tennessee Ave
# 175
Denver, CO 80224-1628

Mailing address

6825 E Tennessee Ave
# 175
Denver, CO 80224-1628
Phone (303) 333-2299

Other identifiers 1

IdentifierTypeStateIssuer
72656531MedicaidCO

National Provider Directory

National Provider Directory

Locations

6825 E Tennessee Ave
Ste 175
Denver, CO 80224
Phone (303) 333-2299

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1124091020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 E TENNESSEE AVE",
            "address_2": "# 175",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241628",
            "telephone_number": "303-333-2299",
            "fax_number": "303-388-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 E TENNESSEE AVE",
            "address_2": "# 175",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241628",
            "telephone_number": "303-333-2299",
            "fax_number": "303-388-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONACO ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "AYZENZON",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-333-2299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72656531",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.