Organization Active NPI

Brent Eley Foundation

  • Non-emergency Medical Transport (VAN)
  • Aurora, CO
National Provider Identifier
1720484108
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BRENT ELEY FOUNDATION
Practice address
11980 E 16TH Ave
Aurora, CO 80010-2704
Phone
(720) 343-2802
NPI assigned
Nov 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Mr. Donn Eley
Title
Board Chair
Phone
(720) 343-2802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

11980 E 16TH Ave
Aurora, CO 80010-2704

Mailing address

11980 E 16TH Ave
Aurora, CO 80010-2704
Phone (720) 343-2802

Other names 1

  • Brent's Place Doing business as

National Provider Directory

National Provider Directory

Locations

11980 E 16th Ave
Aurora, CO 80010
Phone (720) 343-2802

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1720484108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11980 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102704",
            "telephone_number": "720-343-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102704",
            "telephone_number": "720-343-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT ELEY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "ELEY",
        "authorized_official_first_name": "DONN",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "720-343-2802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brent's Place",
            "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 Nov 12, 2014; 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.