NPIMap

Organization Active NPI

Maxim

  • Mental Illness Community Based Residential Treatment Facility
  • Aurora, CO
National Provider Identifier
1275896037
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MAXIM
Practice address
17908 E Amherst Ave
Aurora, CO 80013-2122
Phone
(720) 324-3755
NPI assigned
Jun 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Mr. Timothy Lamarr Brent Sr., BANPI 1285997726
Title
Mental Health Aide
Phone
(720) 324-3755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

17908 E Amherst Ave
Aurora, CO 80013-2122

Mailing address

17908 E Amherst Ave
Aurora, CO 80013-2122
Phone (720) 324-3755

National Provider Directory

National Provider Directory
Tax ID family
Martha Pollock LCSW13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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, 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": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1275896037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17908 E AMHERST AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800132122",
            "telephone_number": "720-324-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17908 E AMHERST AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800132122",
            "telephone_number": "720-324-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "BRENT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LAMARR",
        "authorized_official_title_or_position": "MENTAL HEALTH AIDE",
        "authorized_official_telephone_number": "720-324-3755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "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 Jun 18, 2012; 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.