A-Plus Green Mountain Adult Day Care Center

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

A-PLUS GREEN MOUNTAIN ADULT DAY CARE CENTER

Practice address

13228 W Jewell PL
Lakewood, CO 80228-4222

Phone

(303) 933-1260

NPI assigned

Nov 15, 2007

Last updated

Sep 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sergey A Tkachenko

Title

General Manager

Phone

(303) 952-0383

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1255512562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13228 W JEWELL PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284222",
            "telephone_number": "303-952-0383",
            "fax_number": "720-306-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13228 W JEWELL PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284222",
            "telephone_number": "303-933-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-PLUS GREEN MOUNTAIN ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "TKACHENKO",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "303-952-0383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.