Active NPI
Managed Care Inc
- Assisted Living Facility
- Arvada, CO
National Provider Identifier
1306043260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL-0521
- Legal business name
- MANAGED CARE INC
- Practice address
- 9160 W 64TH Ave
Arvada, CO 80004-3111 - Phone
- (303) 444-4248
- Fax
- (303) 531-5276
- NPI assigned
- Jul 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Camy Rea
- Title
- Supervisor
- Phone
- (303) 444-4248
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL-0521 | CO | Primary |
Addresses
Primary practice location
9160 W 64TH Ave
Arvada, CO 80004-3111
Mailing address
PO Box 17938
Boulder, CO 80308-0938
Phone (303) 444-4248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04182028 | Medicaid | CO |
Other names 1
- Lifetime Associates
National Provider Directory
National Provider DirectoryLocations
9160 W 64th Ave
Arvada, CO 80004
Phone (303) 420-7258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306043260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17938",
"city": "BOULDER",
"state": "CO",
"postal_code": "803080938",
"telephone_number": "303-444-4248",
"fax_number": "303-431-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9160 W 64TH AVE",
"city": "ARVADA",
"state": "CO",
"postal_code": "800043111",
"telephone_number": "303-444-4248",
"fax_number": "303-531-5276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANAGED CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REA",
"authorized_official_first_name": "CAMY",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "303-444-4248",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CO",
"license": "AL-0521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04182028",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lifetime Associates",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.