Andira Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

23I538 Issued in CO

Legal business name

ANDIRA INC

Doing business as

Pineycreek Assisted Living

Practice address

6666 S Piney Creek Cir
Centennial, CO 80016-1108

Phone

(303) 797-9110

Fax

(720) 204-2652

NPI assigned

Apr 19, 2017

Organization subpart

No

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

Authorized official

Name

Abimbola Omiteru

Title

Ceo

Phone

(303) 520-3009

Specialties & licenses 1

Addresses

Other names 1

• Pineycreek Assisted Living Doing business as

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1417481144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631053",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801631053",
            "telephone_number": "303-797-9110",
            "fax_number": "720-204-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 S PINEY CREEK CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800161108",
            "telephone_number": "303-797-9110",
            "fax_number": "720-204-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDIRA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "OMITERU",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-520-3009"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23I538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pineycreek Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Estelle Anderson, P.T.
• Katie Lynn Anderson, D.C.
• Matthew Harlan Anderson, LPC
• Michael R Anderson, RN, APRN
• Samuel Anderson
• Kenneth L Andow, D.D.S.
• Andrew Schechterman PHD LLC
• Anesthesia Dynamics LLC
• Angela Peach Surgical Assisting LLC
• Sarah Anger, DVM

• Assisted Living Facility in Centennial, CO
• Providers in Centennial, 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 Apr 19, 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.