NPIMap

Organization Active NPI

Colorado Addiction Recovery Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Aurora, CO
National Provider Identifier
1235909417
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COLORADO ADDICTION RECOVERY SERVICES
Practice address
2765 S Quintero St
Aurora, CO 80013-2145
Phone
(973) 277-5359
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Bryan Matthew Disimone
Title
Operations Director
Phone
(973) 277-5359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2765 S Quintero St
Aurora, CO 80013-2145

Mailing address

4916 S Buchanan St
Aurora, CO 80016-5949
Phone (973) 277-5359

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2298762Colorado Addiction Recovery Services2765 S Quintero St, Aurora, CO 80013Certificate of waiverFeb 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
Colorado Addiction Recovery Services12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1235909417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4916 S BUCHANAN ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165949",
            "telephone_number": "973-277-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 S QUINTERO ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800132145",
            "telephone_number": "973-277-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ADDICTION RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "DISIMONE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "973-277-5359"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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 Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.