Organization Active NPI

Jerusalem Assisted Living Facility

  • Case Management Agency
  • Denver, CO
National Provider Identifier
1679302533
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
JERUSALEM ASSISTED LIVING FACILITY
Practice address
4783 Chandler CT
Denver, CO 80239-4933
Phone
(303) 668-1397
NPI assigned
Jul 30, 2024
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
JERUSALEM ASSISTED LIVING FACILITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Eyerusalem Mengesha
Title
Owner
Phone
(303) 668-1397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

4783 Chandler CT
Denver, CO 80239-4933

Mailing address

4783 Chandler CT
Denver, CO 80239-4933

National Provider Directory

National Provider Directory
Tax ID family
Jerusalem Assisted Living Facility2 organizations share this tax ID, including this one
Part of
Jerusalem Assisted Living Facility

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1679302533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4783 CHANDLER CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802394933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4783 CHANDLER CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802394933",
            "telephone_number": "303-668-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERUSALEM ASSISTED LIVING FACILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JERUSALEM ASSISTED LIVING FACILITY",
        "enumeration_date": "2024-07-30",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "MENGESHA",
        "authorized_official_first_name": "EYERUSALEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-668-1397"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.