Organization Active NPI

Lafayette Opco, LLC

Doing business as Waneka Park Assisted Living

  • Assisted Living Facility
  • Lafayette, CO
National Provider Identifier
1609634260
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LAFAYETTE OPCO, LLC
Doing business as
Waneka Park Assisted Living
Practice address
225 Waneka Pkwy
Lafayette, CO 80026-8862
Phone
(303) 666-0691
NPI assigned
Mar 8, 2024
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Dean Kiklis
Title
Cfo
Phone
(303) 952-9216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

225 Waneka Pkwy
Lafayette, CO 80026-8862

Mailing address

2668 Northpark Dr
Lafayette, CO 80026-3199
Phone (303) 952-9216

Other names 1

  • Waneka Park Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1609634260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 NORTHPARK DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263199",
            "telephone_number": "303-952-9216",
            "fax_number": "720-531-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WANEKA PKWY",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268862",
            "telephone_number": "303-666-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "KIKLIS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-952-9216"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waneka Park Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.