Organization Active NPI

Nostalgia Group, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Denver, CO
National Provider Identifier
1760840722
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
NOSTALGIA GROUP, INC.
Practice address
1325 S Colorado Blvd Ste B304
Denver, CO 80222-3303
Phone
(303) 298-0027
Fax
(303) 298-0037
NPI assigned
Feb 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
James Shannon
Title
Executive Director
Phone
(303) 298-0027

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1325 S Colorado Blvd Ste B304
Denver, CO 80222-3303

Mailing address

1325 S Colorado Blvd Ste B304
Denver, CO 80222-3303
Phone (303) 298-0027

Other identifiers 1

IdentifierTypeStateIssuer
66558042MedicaidCO

National Provider Directory

National Provider Directory

Locations

1325 S Colorado Blvd
Ste B304
Denver, CO 80222
Phone (303) 298-0027

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1760840722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S COLORADO BLVD STE B304",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223303",
            "telephone_number": "303-298-0027",
            "fax_number": "303-298-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S COLORADO BLVD STE B304",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223303",
            "telephone_number": "303-298-0027",
            "fax_number": "303-298-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOSTALGIA GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-298-0027"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66558042",
            "state": "CO"
        }
    ],
    "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 Feb 5, 2016; 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.