NPIMap

Organization Active NPI

Colorado Assisted Living Homes Ingalls

  • Assisted Living Facility
  • Littleton, CO
National Provider Identifier
1285095679
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2304R2 Issued in CO
Legal business name
COLORADO ASSISTED LIVING HOMES INGALLS
Practice address
7168 S Ingalls Way
Littleton, CO 80128-4653
Phone
(303) 979-0217
Fax
(720) 981-0233
NPI assigned
Mar 11, 2016
Organization subpart
Yes
Parent organization
COLORADO ASSISTED LIVING MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
James Paul Palin
Title
Owner/ Administrator
Phone
(303) 549-1615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2304R2 CO Primary

Addresses

Primary practice location

7168 S Ingalls Way
Littleton, CO 80128-4653

Mailing address

6638 W Ottawa Ave # 220-1
Littleton, CO 80128-4562
Phone (303) 948-0555

Other identifiers 1

IdentifierTypeStateIssuer
73970051MedicaidCO

Other names 1

  • Colorado Assisted Living Homes Management Other name

National Provider Directory

National Provider Directory
Tax ID family
Colorado Assisted Living Homes Ingalls8 organizations share this tax ID, including this one
Part of
Colorado Assisted Living Homes Ingalls

Other organizations with this tax ID 7

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

Locations

6638 W Ottawa Ave
#2201
Littleton, CO 80128
Phone (303) 948-0555

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1285095679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6638 W OTTAWA AVE # 220-1",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284562",
            "telephone_number": "303-948-0555",
            "fax_number": "720-981-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7168 S INGALLS WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284653",
            "telephone_number": "303-979-0217",
            "fax_number": "720-981-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ASSISTED LIVING HOMES INGALLS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO ASSISTED LIVING MANAGEMENT",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "PALIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "303-549-1615"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "2304R2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73970051",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Assisted Living Homes Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.