Heather Grove Assisted Living, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HEATHER GROVE ASSISTED LIVING, INC

Practice address

3289 Grove St
Denver, CO 80211-3286

Phone

(303) 477-4262

Fax

(303) 477-0720

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey S Supit

Title

Manager

Phone

(303) 993-6265

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1669158259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 GROVE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113286",
            "telephone_number": "303-477-4262",
            "fax_number": "303-477-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3289 GROVE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113286",
            "telephone_number": "303-477-4262",
            "fax_number": "303-477-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER GROVE ASSISTED LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "SUPIT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-993-6265",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Heaston, MSW, SWC
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• Erin Heath, MD
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• Assisted Living Facility in Denver, CO
• Providers in Denver, 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 Jun 27, 2023; 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.