MB Management - Aurora Senior Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MB MANAGEMENT - AURORA SENIOR LIVING

Doing business as

Rock Creek Assisted Living
Rock Creek Assisted Living at Kenton

Practice address

1994 S Kenton CT
Aurora, CO 80014-4709

Phone

(424) 288-0088

NPI assigned

Apr 13, 2021

Last updated

Sep 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyler Rayman

Title

Owner/Operator

Phone

(424) 288-0088

Specialties & licenses 1

Addresses

Other names 2

• Rock Creek Assisted Living Doing business as
• Rock Creek Assisted Living at Kenton Doing business as

Tax ID family

MB Management - Aurora Senior Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• MB Management - Aurora Senior Living

  dba Rock Creek Assisted Living at Somerset Village

  • Assisted Living Facility
  • Aurora, CO
  • NPI 1336720945
  NPD tax ID

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1699355594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N SEPULVEDA BLVD # 643",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665111",
            "telephone_number": "424-288-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1994 S KENTON CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144709",
            "telephone_number": "424-288-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 S Rifle St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800174526",
            "country_code": "US",
            "telephone_number": "424-288-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MB MANAGEMENT - AURORA SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "RAYMAN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "424-288-0088"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Creek Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rock Creek Assisted Living at Kenton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Mazza, PA-C
• Margaret Jean Mazzarello, NP-C
• Danilo V Mazzella, MD
• MB Care Ride LLC
• MB Management - Aurora Senior Living (Rock Creek Assisted Living at Somerset Village)
• MB Transportation LLC
• Mbango Enterprises LLC (Sky Mental Health Services)
• Mbango Enterprises LLC
• Rica Mbangu Kot Mbau, PHARMACIST
• Jean Maurice Mbasi Belekwa

• Assisted Living Facility in Aurora, CO
• Providers in Aurora, 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 Sep 29, 2021; 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.