Organization Active NPI

Alpine Adult Day Care, LLC

  • Adult Day Care Clinic/Center
  • Aurora, CO
National Provider Identifier
1225417512
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
169342 Issued in CO
Legal business name
ALPINE ADULT DAY CARE, LLC
Practice address
1985 S Havana St
Aurora, CO 80014-1011
Phone
(303) 755-8002
Fax
(303) 755-8003
NPI assigned
May 20, 2015
Last updated
May 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Mr. Alik A Kassner
Title
Partner
Phone
(303) 601-3538

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 169342 CO Primary
Non-emergency Medical Transport (VAN) 343900000X B-09977 CO

Addresses

Primary practice location

1985 S Havana St
Aurora, CO 80014-1011

Mailing address

1985 S Havana St
Aurora, CO 80014-1011
Phone (303) 755-8002

Other identifiers 1

IdentifierTypeStateIssuer
26837871MedicaidCO

National Provider Directory

National Provider Directory

Locations

1985 S Havana St
Aurora, CO 80014
Phone (303) 755-8002

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1225417512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 S HAVANA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141011",
            "telephone_number": "303-755-8002",
            "fax_number": "303-755-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 S HAVANA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141011",
            "telephone_number": "303-755-8002",
            "fax_number": "303-755-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE ADULT DAY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "KASSNER",
        "authorized_official_first_name": "ALIK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "303-601-3538",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CO",
            "license": "169342",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "B-09977",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26837871",
            "state": "CO"
        }
    ],
    "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 May 2, 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.