Organization Active NPI

Ty'S House

  • Assisted Living Facility
  • Denver, CO
National Provider Identifier
1386019677
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
23R990 Issued in CO
Legal business name
TY'S HOUSE
Practice address
5050 Troy St
Denver, CO 80239-4338
Phone
(303) 307-8332
Fax
(303) 261-1112
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Carolyn Shockley
Title
President
Phone
(303) 307-8332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 23R990 CO Primary

Addresses

Primary practice location

5050 Troy St
Denver, CO 80239-4338

Mailing address

PO Box 390651
Denver, CO 80239-1651
Phone (303) 307-8332

Other identifiers 1

IdentifierTypeStateIssuer
15655351MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Ty'S House2 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": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1386019677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390651",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802391651",
            "telephone_number": "303-307-8332",
            "fax_number": "303-261-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 TROY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802394338",
            "telephone_number": "303-307-8332",
            "fax_number": "303-261-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TY'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-307-8332"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23R990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15655351",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.