Lakewood Terrace Affordable Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKEWOOD TERRACE AFFORDABLE ASSISTED LIVING, LLC

Practice address

13969 W Warren Ave
Lakewood, CO 80228-4822

Phone

(303) 507-0679

Fax

(720) 675-3300

NPI assigned

Jan 15, 2021

Last updated

Jan 15, 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

Gregory Paul Green

Title

Administrator

Phone

(303) 507-0679

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1780273532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13969 W WARREN AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284822",
            "telephone_number": "303-507-0679",
            "fax_number": "720-675-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13969 W WARREN AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284822",
            "telephone_number": "303-507-0679",
            "fax_number": "720-675-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD TERRACE AFFORDABLE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-507-0679"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lakewood, CO
• Providers in Lakewood, 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 Jan 15, 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.