Individual provider Active NPI

Moses L Jones IV

  • Substance Abuse Rehabilitation Facility
  • Aurora, CO
National Provider Identifier
1316759046
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Practice address
3014 Victor St
Aurora, CO 80011-2017
Phone
(720) 451-4359
NPI assigned
Jan 21, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3014 Victor St
Aurora, CO 80011-2017

Mailing address

3912 S Carson St Unit 203
Aurora, CO 80014-7124
Phone (720) 451-4359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh 2 Death Peer Support, LLC Current Accepting new patients
Fresh 2 Death Peer Support, LLC CurrentSince Feb 23, 2025 Accepting new patients
5280 Fresh Start,LLC Substance Abuse Rehabilitation Facility CurrentSince Jan 26, 2025 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1316759046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 S CARSON ST UNIT 203",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800147124",
            "telephone_number": "720-451-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 VICTOR ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800112017",
            "telephone_number": "720-451-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES IV",
        "first_name": "MOSES",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 Jan 21, 2025; 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.