Organization Active NPI

Augustana Elk Run Assisted Living LLC

Doing business as Augustana Elk Run Assisted Living

  • Assisted Living Facility
  • Evergreen, CO
National Provider Identifier
1659675692
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AUGUSTANA ELK RUN ASSISTED LIVING LLC
Doing business as
Augustana Elk Run Assisted Living
Practice address
31383 Frost Way
Evergreen, CO 80439-2217
Phone
(303) 679-8777
NPI assigned
Jan 5, 2011
Last updated
Jan 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Craig Kittelson
Title
Chief Financial Officer
Phone
(612) 238-5205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

31383 Frost Way
Evergreen, CO 80439-2217

Mailing address

31383 Frost Way
Evergreen, CO 80439-2217
Phone (303) 679-8777

Other names 1

  • Augustana Elk Run Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2231497Augustana Elk Run31383 Frost Way, Evergreen, CO 80439Certificate of waiverAug 2, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1659675692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31383 FROST WAY",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392217",
            "telephone_number": "303-679-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31383 FROST WAY",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804392217",
            "telephone_number": "303-679-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTANA ELK RUN ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "KITTELSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "612-238-5205"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augustana Elk Run Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.