Organization Active NPI

Aurora Summit Recovery Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Aurora, CO
National Provider Identifier
1679438642
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
AURORA SUMMIT RECOVERY CENTER LLC
Practice address
1471 S Buchanan Cir
Aurora, CO 80018-6007
Phone
(678) 755-5601
NPI assigned
Dec 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Mrs. Mariamawit Desta
Title
Ceo
Phone
(678) 755-5601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1471 S Buchanan Cir
Aurora, CO 80018-6007

Mailing address

1471 S Buchanan Cir
Aurora, CO 80018-6007

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1679438642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 S BUCHANAN CIR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800186007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 S BUCHANAN CIR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800186007",
            "telephone_number": "678-755-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA SUMMIT RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-21",
        "status": "A",
        "authorized_official_last_name": "DESTA",
        "authorized_official_first_name": "MARIAMAWIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-755-5601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 22, 2025; 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.