Kotillo Blessing Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KOTILLO BLESSING CARE LLC

Practice address

4318 Ceylon CT
Denver, CO 80249-6540

Phone

(720) 327-8315

NPI assigned

Jan 11, 2023

Organization subpart

No

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

Authorized official

Name

Machandoque Kotilo

Title

Owner

Phone

(720) 327-8315

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1487368601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 CEYLON CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496540",
            "telephone_number": "720-327-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 CEYLON CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496540",
            "telephone_number": "720-327-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTILLO BLESSING CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "KOTILO",
        "authorized_official_first_name": "MACHANDOQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-327-8315"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam G Koszowski, MD, PHD
• Susan Kotake, M.D.
• Dasha Kotalik, LCSW, CACII
• Lena Frederica Kotani
• Susan Deanne Kotelnicki, PTA
• Gregory Raphael Kotnis, MD
• Isabella Kotnour, LPC
• Alexis Kotsis, RBT
• Jeremy M Kott, DDS
• Terri B. Kottal, ANP-C

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Denver, CO
• Providers in Denver, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.