East Orchard Manor Cares LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EAST ORCHARD MANOR CARES LLC

Practice address

290 E Orchard Rd
Centennial, CO 80121-1134

Phone

(303) 834-5646

NPI assigned

May 25, 2021

Organization subpart

No

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

Authorized official

Name

Chirag Shah

Title

Member

Phone

(303) 834-5646

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1619542388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270523",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800275008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E ORCHARD RD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801211134",
            "telephone_number": "303-834-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ORCHARD MANOR CARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "303-834-5646"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23V259",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "endpointDescription": "Secure fax",
            "address_1": "290 E Orchard Rd",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801211134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dynamic Directions Counseling Inc
• Laniece Dyson
• Wednesday Velouria Eanes
• Emma Elizabeth Earles, LPCC
• Vicki L. Earnshaw, R.D.H.
• Catherine Elizabeth Eastland-Vieregger, DDS
• Elizabeth Marie Easton, PSYD
• Evan Easton, LMT
• Hannah Eaton
• Eddie Eccker, LMFT

• Assisted Living Facility in Centennial, CO
• Providers in Centennial, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.