MSV Fitzsimons, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MSV FITZSIMONS, LLC

Doing business as

Aviva at Fitzsimons

Practice address

13525 E 23Rd Ave
Aurora, CO 80045-7450

Phone

(303) 344-8282

Fax

(303) 366-3016

NPI assigned

May 13, 2020

Organization subpart

No

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

Authorized official

Name

Mary Koretke

Title

Director of Reimbursement

Phone

(303) 238-3838

Specialties & licenses 1

Addresses

Other names 1

• Aviva at Fitzsimons Doing business as

Tax ID family

Aviva at Fitzsimons2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• MSV Fitzsimons, LLC

  • Skilled Nursing Facility
  • Aurora, CO
  • NPI 1891273892
  NPD tax ID

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1518589480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13525 E 23RD AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457450",
            "telephone_number": "303-344-8282",
            "fax_number": "303-366-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13525 E 23RD AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457450",
            "telephone_number": "303-344-8282",
            "fax_number": "303-366-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSV FITZSIMONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "303-238-3838"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aviva at Fitzsimons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genevieve Claire Moyer, M.D.
• Madaline Moyer
• Kylie Mozingo, NNP-BC
• Joseph Mpumuro
• Msi Enterprises LLC
• MSV Fitzsimons, LLC
• Mt. Gilead Missionary Baptist Church
• Mta Medical Group LLC
• Tafadzwa Fungai Mtisi, MD
• Jenny Mu

• Skilled Nursing Facility in Aurora, CO
• Providers in Aurora, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.