Haverland Carter Ralston Creek LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HAVERLAND CARTER RALSTON CREEK LLC

Practice address

11825 W 64TH Ave
Arvada, CO 80004-4307

Phone

(303) 284-7813

Fax

(303) 284-7803

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

E. Deann Eaton-Azar

Title

Ceo

Phone

(505) 291-3294

Specialties & licenses 1

Addresses

Other names 1

• Ralston Creek Neighborhood Inc. Doing business as

Locations

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1407422017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 MONTGOMERY BLVD NE STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113800",
            "telephone_number": "505-291-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044307",
            "telephone_number": "303-284-7813",
            "fax_number": "303-284-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVERLAND CARTER RALSTON CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "EATON-AZAR",
        "authorized_official_first_name": "E.",
        "authorized_official_middle_name": "DEANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-291-3294"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ralston Creek Neighborhood Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marsha Hasegawa
• Nancy Ann Hass, M.A.
• Dustin Haupt, DDS
• Valerie Ann Haustein, RDH
• Amber Havekost, MA, LPC, BCC
• Rebecca Catherine Havis, PT, DPT
• Lauryn Tamae Hayashi, DPT
• Gregg M Hayward, R.N.
• Deborah Lynne Haze, LPN
• Healing Hands Physical Therapy, P.C.

• Assisted Living Facility in Arvada, CO
• Providers in Arvada, 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 Jul 14, 2021; 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.