Organization Active NPI

Chateau Julia Healthcare, Inc.

Doing business as Julia Temple Healthcare Center

  • Respite Care
  • Englewood, CO
National Provider Identifier
1366962102
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
CHATEAU JULIA HEALTHCARE, INC.
Doing business as
Julia Temple Healthcare Center
Practice address
3401 S Lafayette St
Englewood, CO 80113-2926
Phone
(303) 761-0075
Fax
(303) 761-2967
NPI assigned
Jun 22, 2017
Last updated
Jun 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X NU Primary

Addresses

Primary practice location

3401 S Lafayette St
Englewood, CO 80113-2926

Mailing address

27101 Puerta Real Ste 450
Mission Viejo, CA 92691-8566
Phone (949) 540-1249

Other identifiers 1

IdentifierTypeStateIssuer
71883843MedicaidCO

Other names 1

  • Julia Temple Healthcare Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chateau Julia Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498089600000",
    "number": "1366962102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27101 PUERTA REAL STE 450",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918566",
            "telephone_number": "949-540-1249",
            "fax_number": "949-540-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 S LAFAYETTE ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132926",
            "telephone_number": "303-761-0075",
            "fax_number": "303-761-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATEAU JULIA HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71883843",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julia Temple Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Julia Temple Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.