Organization Active NPI

Venezia Innovative Services

  • Voluntary or Charitable Agency
  • Aurora, CO
National Provider Identifier
1447605829
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
VENEZIA INNOVATIVE SERVICES
Practice address
15343 E 6TH Ave
Unit- F
Aurora, CO 80011-9074
Phone
(303) 537-5078
Fax
(303) 856-7203
NPI assigned
May 4, 2016
Last updated
May 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Mr. Love Dzakpasu
Title
Executive Director
Phone
(720) 297-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

15343 E 6TH Ave
Unit- F
Aurora, CO 80011-9074

Mailing address

15343 E 6TH Ave
Unit- F
Aurora, CO 80011-9009
Phone (303) 537-5078

Other identifiers 2

IdentifierTypeStateIssuer
30504261MedicaidCO
55675051MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Venezia Innovative Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15343 E 6th Ave
Unit F
Aurora, CO 80011
Phone (303) 537-5078

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1447605829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15343 E 6TH AVE",
            "address_2": "UNIT- F",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800119009",
            "telephone_number": "303-537-5078",
            "fax_number": "303-856-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15343 E 6TH AVE",
            "address_2": "UNIT- F",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800119074",
            "telephone_number": "303-537-5078",
            "fax_number": "303-856-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENEZIA INNOVATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "DZAKPASU",
        "authorized_official_first_name": "LOVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "720-297-1002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30504261",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55675051",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.