Charleston at Keenesburg, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CHARLESTON AT KEENESBURG, LLC

Practice address

195 E Gandy Ave
Keenesburg, CO 80643-8528

Phone

(303) 732-4424

NPI assigned

Feb 1, 2024

Last updated

Feb 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Foster

Title

Owner

Phone

(720) 883-5661

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1376306399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 BLACK MESA RD",
            "city": "FREDERICK",
            "state": "CO",
            "postal_code": "805169778",
            "telephone_number": "720-883-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 E GANDY AVE",
            "city": "KEENESBURG",
            "state": "CO",
            "postal_code": "806438528",
            "telephone_number": "303-732-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON AT KEENESBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-883-5661"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aladdin Assisted Living LLC (Aladdin at Keenesburg)
• All About Smiles Inc.
• Assisted Living of Keenesburg LLC (Premier Assisted Living of Keenesburg)
• Hector Juan Brignoni, MD
• Nora Kathryn Keane, FNP-BC
• Keene Clinic
• Love Never Fails LLC
• Madison Senior Living Management LLC (The Aladdin at Keenesburg)
• Benjamin Martinez-Andujo, NP

• Assisted Living Facility in Keenesburg, CO
• Providers in Keenesburg, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.