Active NPI
Sharp Med Spa Inc.
Doing business as new voyage drug and alcohal rehabilitaion center
- Substance Abuse Rehabilitation Facility
- Aurora, CO
National Provider Identifier
1669629416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 1634
- Legal business name
- SHARP MED SPA INC.
- Doing business as
- new voyage drug and alcohal rehabilitaion center
- Practice address
- 6894 S Ensenada St
Aurora, CO 80016-1956 - Phone
- (303) 731-4353
- NPI assigned
- Aug 23, 2008
- Last updated
- Aug 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Salimeh Mirmotahari
- Title
- Ceo
- Phone
- (310) 619-8850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 1634 | CO | Primary |
Addresses
Primary practice location
6894 S Ensenada St
Aurora, CO 80016-1956
Mailing address
1150 W Capitol Dr Unit 137
San Pedro, CA 90732-2277
Phone (310) 619-8850
Other names 1
- new voyage drug and alcohal rehabilitaion center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219449600000",
"number": "1669629416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 W CAPITOL DR UNIT 137",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907322277",
"telephone_number": "310-619-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6894 S ENSENADA ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800161956",
"telephone_number": "303-731-4353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARP MED SPA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-23",
"last_updated": "2008-08-23",
"status": "A",
"authorized_official_last_name": "MIRMOTAHARI",
"authorized_official_first_name": "SALIMEH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-619-8850",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CO",
"license": "1634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "new voyage drug and alcohal rehabilitaion center",
"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 Aug 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.