Organization Active NPI

Little Sisters of the Poor Mullen Home

  • Assisted Living Facility
  • Denver, CO
National Provider Identifier
1538322706
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2304J5 Issued in CO
Legal business name
LITTLE SISTERS OF THE POOR MULLEN HOME
Practice address
3629 W 29TH Ave
Denver, CO 80211-3601
Phone
(303) 433-7221
Fax
(303) 477-0519
NPI assigned
Jul 8, 2008
Organization subpart
Yes
Parent organization
LITTLE SISTERS OF THE POOR MULLEN HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Paul Magyar
Title
Nursing Home Administrator
Phone
(303) 433-7221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2304J5 CO Primary

Addresses

Primary practice location

3629 W 29TH Ave
Denver, CO 80211-3601

Mailing address

3629 W 29TH Ave
Denver, CO 80211-3601
Phone (303) 433-7221

Other identifiers 1

IdentifierTypeStateIssuer
04140349MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Little Sisters of the Poor Mullen Home for the Aged2 organizations share this tax ID, including this one
Part of
Little Sisters of the Poor Mullen Home for the Aged

Other organizations with this tax ID 1

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

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": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1538322706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113601",
            "telephone_number": "303-433-7221",
            "fax_number": "303-477-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113601",
            "telephone_number": "303-433-7221",
            "fax_number": "303-477-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SISTERS OF THE POOR MULLEN HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LITTLE SISTERS OF THE POOR MULLEN HOME",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "MAGYAR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "303-433-7221"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "2304J5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04140349",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.