Organization Active NPI

Assisted Living of Northglenn LLC

  • Assisted Living Facility
  • Northglenn, CO
National Provider Identifier
1265389183
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ASSISTED LIVING OF NORTHGLENN LLC
Practice address
11255 Grant Dr
Northglenn, CO 80233-3031
Phone
(303) 834-5646
NPI assigned
Mar 11, 2026
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ASSISTED LIVING OF NORTHGLENN LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Chirag Shah
Title
Administrator
Phone
(303) 834-5646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

11255 Grant Dr
Northglenn, CO 80233-3031

Mailing address

PO Box 270523
Louisville, CO 80027-5008

National Provider Directory

National Provider Directory
Tax ID family
Assisted Living of Northglenn LLC2 organizations share this tax ID, including this one
Part of
Assisted Living of Northglenn LLC

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1265389183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270523",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800275008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11255 GRANT DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802333031",
            "telephone_number": "303-834-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING OF NORTHGLENN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSISTED LIVING OF NORTHGLENN LLC",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-834-5646"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.