Organization Active NPI

Mairik Adult Day Care

  • Adult Day Care Clinic/Center
  • Centennial, CO
National Provider Identifier
1407215429
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MAIRIK ADULT DAY CARE
Practice address
7255 S Havana St Ste 130
Centennial, CO 80112-3887
Phone
(303) 960-4732
Fax
(303) 736-2195
NPI assigned
Feb 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Artem Matevosyants
Title
Controller
Phone
(303) 960-4732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

7255 S Havana St Ste 130
Centennial, CO 80112-3887

Mailing address

7255 S Havana St Ste 130
Centennial, CO 80112-3887
Phone (303) 960-4732

Other identifiers 1

IdentifierTypeStateIssuer
60608587MedicaidCO

National Provider Directory

National Provider Directory

Locations

7255 S Havana St
Ste 130
Centennial, CO 80112
Phone (303) 960-4732

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1407215429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 S HAVANA ST STE 130",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123887",
            "telephone_number": "303-960-4732",
            "fax_number": "303-736-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 S HAVANA ST STE 130",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123887",
            "telephone_number": "303-960-4732",
            "fax_number": "303-736-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIRIK ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "MATEVOSYANTS",
        "authorized_official_first_name": "ARTEM",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "303-960-4732"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60608587",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.