NPIMap

Organization Active NPI

Makarios Assisted Living LLC

  • Assisted Living Facility
  • Aurora, CO
National Provider Identifier
1619383296
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
23M211 Issued in CO
Legal business name
MAKARIOS ASSISTED LIVING LLC
Practice address
19148 E Lasalle PL
Aurora, CO 80013-6454
Phone
(720) 404-1445
Fax
(303) 993-7505
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Mr. Suyatno Fnu
Title
Owner/Administrator
Phone
(720) 404-1445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 23M211 CO Primary

Addresses

Primary practice location

19148 E Lasalle PL
Aurora, CO 80013-6454

Mailing address

2936 S Yampa Way
Aurora, CO 80013-6162
Phone (720) 404-1445

Other names 1

  • Yampa Makarios assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Makarios Assisted Living LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1619383296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 S YAMPA WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800136162",
            "telephone_number": "720-404-1445",
            "fax_number": "303-993-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19148 E LASALLE PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800136454",
            "telephone_number": "720-404-1445",
            "fax_number": "303-993-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKARIOS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "FNU",
        "authorized_official_first_name": "SUYATNO",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "720-404-1445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23M211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yampa Makarios assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.