NPIMap

Organization Active NPI

Aspen Leaf Assisted Living Residence Inc

  • Assisted Living Facility
  • Flagler, CO
National Provider Identifier
1194362012
Registry record updated Dec 15, 2019
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Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ASPEN LEAF ASSISTED LIVING RESIDENCE INC
Practice address
419 Pawnee Avenue
Flagler, CO 80815
Phone
(303) 906-1643
Fax
(888) 898-4928
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2019

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

Authorized official

Name
Kathy Dyer
Title
Administrator
Phone
(303) 906-1643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

419 Pawnee Avenue
Flagler, CO 80815

Mailing address

PO Box 426
Flagler, CO 80815-0426

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KATHY@ASPENLEAFASSISTEDLIVING.COM Direct

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576368000000",
    "number": "1194362012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "FLAGLER",
            "state": "CO",
            "postal_code": "808150426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 PAWNEE AVENUE",
            "city": "FLAGLER",
            "state": "CO",
            "postal_code": "80815",
            "telephone_number": "303-906-1643",
            "fax_number": "888-898-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN LEAF ASSISTED LIVING RESIDENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-906-1643"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KATHY@ASPENLEAFASSISTEDLIVING.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "419 PAWNEE AVENUE",
            "city": "FLAGLER",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flagler, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; 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.