Organization Active NPI

Managed Care Inc

  • Assisted Living Facility
  • Arvada, CO
National Provider Identifier
1306043260
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL-0521 Issued in CO
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04182028MedicaidCO

Other names 1

  • Lifetime Associates Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.