Active NPI
Assisted Living of Denver NE, LLC
- Assisted Living Facility (Mental Illness)
- Denver, CO
National Provider Identifier
1790600633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- Legal business name
- ASSISTED LIVING OF DENVER NE, LLC
- Practice address
- 4827 Lisbon Street
Denver, CO 80249-7455 - Phone
- (303) 371-0106
- Fax
- (303) 371-0112
- NPI assigned
- Aug 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melany S Wong
- Title
- Administrator
- Phone
- (720) 635-4734
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | Primary | ||
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X |
Addresses
Primary practice location
4827 Lisbon Street
Denver, CO 80249-7455
Mailing address
P.O. Box 274
Parker, CO 80134-8998
Phone (720) 635-4734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40872751 | Medicaid | CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2233060 | Assisted Living of Denver NE | Certificate of waiver | Aug 18, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1790600633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 274",
"city": "PARKER",
"state": "CO",
"postal_code": "801348998",
"telephone_number": "720-635-4734",
"fax_number": "720-420-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4827 LISBON STREET",
"city": "DENVER",
"state": "CO",
"postal_code": "802497455",
"telephone_number": "303-371-0106",
"fax_number": "303-371-0112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSISTED LIVING OF DENVER NE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-11",
"last_updated": "2026-08-11",
"status": "A",
"authorized_official_last_name": "WONG",
"authorized_official_first_name": "MELANY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "720-635-4734"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40872751",
"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 Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.