Little Sisters of the Poor Mullen Home for the Aged

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

LITTLE SISTERS OF THE POOR MULLEN HOME FOR THE AGED

Practice address

3629 W 29TH Ave
Denver, CO 80211-3601

Phone

(303) 433-7221

Fax

(303) 477-0519

NPI assigned

Nov 22, 2005

Last updated

Apr 22, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

LITTLE SISTERS OF THE POOR MULLEN HOME FOR THE AGEDAs reported in NPPES

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

Authorized official

Name

Diana L Harris

Title

Resident Accts Book Keeper

Phone

(303) 433-7221

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LITTLE SISTERS OF THE POOR Other name

Tax ID family

Little Sisters of the Poor Mullen Home2 organizations share this tax ID, including this one

Part of

Little Sisters of the Poor Mullen Home

Other organizations with this tax ID 1

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

• Little Sisters of the Poor Mullen Home

  • Assisted Living Facility
  • Denver, CO
  • NPI 1538322706
  NPD tax ID

Locations

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.

• Lynae Daneen Jones, LPC

  • Professional Counselor
  • Parker, CO
  • NPI 1306654967
  NPD

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1356324578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113601",
            "telephone_number": "303-433-7221",
            "fax_number": "303-477-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113601",
            "telephone_number": "303-433-7221",
            "fax_number": "303-477-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SISTERS OF THE POOR MULLEN HOME FOR THE AGED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LITTLE SISTERS OF THE POOR MULLEN HOME FOR THE AGED",
        "enumeration_date": "2005-11-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RESIDENT ACCTS BOOK KEEPER",
        "authorized_official_telephone_number": "303-433-7221"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04140349",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05653753",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LITTLE SISTERS OF THE POOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Denver, CO
• Providers in Denver, CO by specialty
• Nursing Facility/Intermediate Care Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.