Organization Active NPI

Seb's Recreation Center

  • Adult Day Care Clinic/Center
  • Aurora, CO
National Provider Identifier
1457991705
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SEB'S RECREATION CENTER
Doing business as
Seb's Recreation Center
Practice address
1710 S Buckley Rd Unit 9
Aurora, CO 80017-5639
Phone
(303) 353-9822
NPI assigned
Jan 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Mr. Keithan HolidayNPI 1225623903
Title
Owner
Phone
(303) 353-9822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225800000X
Developmentally Disabled Services Day Training Agency 251C00000X
Nursing Care Agency 251J00000X
Adult Day Care Clinic/Center 261QA0600X Primary
Health Service Clinic/Center 261QH0100X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
VA Clinic/Center 261QV0200X
Health Maintenance Organization 302R00000X

Addresses

Primary practice location

1710 S Buckley Rd Unit 9
Aurora, CO 80017-5639

Mailing address

1710 S Buckley Rd Unit 9
Aurora, CO 80017-5639
Phone (303) 353-9822

Other identifiers 2

IdentifierTypeStateIssuer
80017MedicaidCO
80017OtherCORECREATION

Other names 1

  • Seb's Recreation Center Doing business as

National Provider Directory

National Provider Directory

Locations

1710 S Buckley Rd
Unit 9
Aurora, CO 80017
Phone (303) 353-9822

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1457991705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 S BUCKLEY RD UNIT 9",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800175639",
            "telephone_number": "303-353-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S BUCKLEY RD UNIT 9",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800175639",
            "telephone_number": "303-353-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEB'S RECREATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "HOLIDAY",
        "authorized_official_first_name": "KEITHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-353-9822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80017",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RECREATION",
            "identifier": "80017",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seb's Recreation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seb's Recreation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 4, 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.