Centennialsd, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CENTENNIALSD, INC.

Practice address

10328 Hunterwood Way
Highlands Ranch, CO 80130-8801

Phone

(720) 543-2170

NPI assigned

Mar 24, 2023

Last updated

Mar 24, 2023By 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

Tony Venzor

Title

Regional Growth Director

Phone

(720) 543-2170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1568165926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10328 HUNTERWOOD WAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801308801",
            "telephone_number": "720-543-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10328 HUNTERWOOD WAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801308801",
            "telephone_number": "720-543-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIALSD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "VENZOR",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "REGIONAL GROWTH DIRECTOR",
        "authorized_official_telephone_number": "720-543-2170"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.