NPIMap

Organization Active NPI

Colorado Assisted Living Homes Panama

  • Assisted Living Facility
  • Centennial, CO
National Provider Identifier
1659732055
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
23M600 Issued in CO
Legal business name
COLORADO ASSISTED LIVING HOMES PANAMA
Practice address
1051 E Panama Dr
Centennial, CO 80121-2506
Phone
(303) 798-0746
Fax
(720) 981-0233
NPI assigned
Mar 11, 2016
Last updated
Mar 11, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
COLORADO ASSISTED LIVING HOMES MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
James Paul PalinNPI 1154969236
Title
Owner/Administrator
Phone
(303) 549-1615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 23M600 CO Primary

Addresses

Primary practice location

1051 E Panama Dr
Centennial, CO 80121-2506

Mailing address

6638 W Ottawa Ave
Littleton, CO 80128-4562
Phone (303) 948-0555

Other identifiers 1

IdentifierTypeStateIssuer
68023898MedicaidCO

Other names 1

  • Colorado Assisted Living Homes Management Other name

National Provider Directory

National Provider Directory
Tax ID family
Colorado Assisted Living Homes Wellington8 organizations share this tax ID, including this one
Part of
Colorado Assisted Living Homes Wellington

Other organizations with this tax ID 7

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

Locations

6638 W Ottawa Ave
Littleton, CO 80128
Phone (303) 870-2749

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1659732055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6638 W OTTAWA AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284562",
            "telephone_number": "303-948-0555",
            "fax_number": "720-981-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 E PANAMA DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801212506",
            "telephone_number": "303-798-0746",
            "fax_number": "720-981-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ASSISTED LIVING HOMES PANAMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO ASSISTED LIVING HOMES MANAGEMENT",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "PALIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "303-549-1615"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23M600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68023898",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Assisted Living Homes Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.