Organization Active NPI

Prima Adult Day Care

  • Developmentally Disabled Services Day Training Agency
  • Denver, CO
National Provider Identifier
1578929428
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PRIMA ADULT DAY CARE
Practice address
6630 E Hampden Ave
Denver, CO 80224-3004
Phone
(720) 524-9206
NPI assigned
Jan 7, 2016
Last updated
Jan 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Inessa Novoselsky
Title
President
Phone
(720) 524-9206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

6630 E Hampden Ave
Denver, CO 80224-3004

Mailing address

6630 E Hampden Ave
Denver, CO 80224-3004
Phone (720) 524-9206

Other identifiers 1

IdentifierTypeStateIssuer
79155075MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1578929428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 E HAMPDEN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243004",
            "telephone_number": "720-524-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 E HAMPDEN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243004",
            "telephone_number": "720-524-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "NOVOSELSKY",
        "authorized_official_first_name": "INESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-524-9206"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79155075",
            "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 Jan 7, 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.