Green Lakeview Adult Daycare, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

20101564719 Issued in CO

Legal business name

GREEN LAKEVIEW ADULT DAYCARE, LLC

Practice address

9999 W 60TH Ave
Arvada, CO 80004-4949

Phone

(303) 421-2914

Fax

(303) 421-2915

NPI assigned

Jul 9, 2016

Last updated

Jul 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ivan Muzychenko

Title

Manager

Phone

(303) 421-2914

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468022400000",
    "number": "1477905891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 W 60TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044949",
            "telephone_number": "303-421-2914",
            "fax_number": "303-421-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 W 60TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044949",
            "telephone_number": "303-421-2914",
            "fax_number": "303-421-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LAKEVIEW ADULT DAYCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-09",
        "last_updated": "2016-07-09",
        "status": "A",
        "authorized_official_last_name": "MUZYCHENKO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-421-2914"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CO",
            "license": "20101564719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Arvada, CO
• Providers in Arvada, CO by specialty
• Adult Day Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.