Aurora Evergreen Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AURORA EVERGREEN ASSISTED LIVING LLC

Practice address

12311 E Arkansas Ave
Aurora, CO 80012-4303

Phone

(303) 368-0888

NPI assigned

Aug 21, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Meidy Rangingisan

Title

Owner

Phone

(720) 975-4024

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Naftalina Allen, ADMINISTRATOR

  • Assisted Living Facility
  • Aurora, CO
  • NPI 1164106746
  NPD

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154847150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12311 E ARKANSAS AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124303",
            "telephone_number": "303-368-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 E ARKANSAS AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124303",
            "telephone_number": "303-368-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA EVERGREEN ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RANGINGISAN",
        "authorized_official_first_name": "MEIDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-975-4024",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Aurora, CO
• Providers in Aurora, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.