Organization Active NPI

Eaton Terrace II Assisted Living

  • Assisted Living Facility
  • Lakewood, CO
National Provider Identifier
1245494087
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2304A8 Issued in CO
Legal business name
EATON TERRACE II ASSISTED LIVING
Practice address
323 S Eaton St
Lakewood, CO 80226-3565
Phone
(303) 937-3000
Fax
(303) 937-3090
NPI assigned
Jul 10, 2008
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Diana Lynn Delgado
Title
Chief Operating Officer
Phone
(303) 937-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2304A8 CO Primary

Addresses

Primary practice location

323 S Eaton St
Lakewood, CO 80226-3565

Mailing address

323 S Eaton St
Lakewood, CO 80226-3565
Phone (303) 937-3000

Other identifiers 1

IdentifierTypeStateIssuer
09000308MedicaidCO

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1245494087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S EATON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263565",
            "telephone_number": "303-937-3000",
            "fax_number": "303-937-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S EATON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263565",
            "telephone_number": "303-937-3000",
            "fax_number": "303-937-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON TERRACE II ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "303-937-3000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "2304A8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09000308",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.