Northglenn Operations, LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

NORTHGLENN OPERATIONS, LLC

Doing business as

Avamere Transitional Care and Rehabilitation-Malley

Practice address

401 Malley Dr
Northglenn, CO 80233-2024

Phone

(303) 452-4700

NPI assigned

Dec 10, 2021

Organization subpart

No

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

Authorized official

Name

Carrie Vanderzanden

Title

Deputy General Counsel

Phone

(503) 329-8344

Specialties & licenses 2

Addresses

Other names 1

• Avamere Transitional Care and Rehabilitation-Malley Doing business as

Electronic endpoints 1

Tax ID family

Avamere Transitional Care and Rehabilitation-Malley2 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.

• Northglenn Operations, LLC

  dba Avamere Transitional Care and Rehabilitation-Malley

  • Skilled Nursing Facility
  • Northglenn, CO
  • NPI 1912679168
  NPD tax ID

Locations

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1699434209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25115 SW PARKWAY AVE STE B",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708891",
            "telephone_number": "503-570-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MALLEY DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802332024",
            "telephone_number": "303-452-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHGLENN OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "VANDERZANDEN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "DEPUTY GENERAL COUNSEL",
        "authorized_official_telephone_number": "503-329-8344"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Northglenn",
            "affiliation": "N",
            "address_1": "401 Malley Dr",
            "city": "Northglenn",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802332024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Avamere Transitional Care and Rehabilitation-Malley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avamere Transitional Care and Rehabilitation-Malley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Respite Care in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Respite Care in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.