Organization Active NPI

Prestige Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Aurora, CO
National Provider Identifier
1144795154
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PRESTIGE ADULT DAY CARE LLC
Practice address
2860 S Havana St
Unit C
Aurora, CO 80014
Phone
(720) 277-5910
NPI assigned
Oct 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Massaniel Babakhanov
Title
Owner
Phone
(720) 277-5910

Specialties & licenses 1

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

Addresses

Primary practice location

2860 S Havana St
Unit C
Aurora, CO 80014

Mailing address

2860 S. Havana St
Unit C
Aurora, CO 80014

National Provider Directory

National Provider Directory

Locations

2860 S Havana St
Unit C
Aurora, CO 80014
Phone (720) 277-5910

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1144795154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 S. HAVANA ST",
            "address_2": "UNIT C",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S HAVANA ST",
            "address_2": "UNIT C",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80014",
            "telephone_number": "720-277-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "BABAKHANOV",
        "authorized_official_first_name": "MASSANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-277-5910"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "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 Oct 5, 2018; 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.