Organization Active NPI

Golden Manor Operator LLC

  • Assisted Living Facility
  • Denver, CO
National Provider Identifier
1801302898
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
230488 Issued in CO
Legal business name
GOLDEN MANOR OPERATOR LLC
Doing business as
Golden Manor
Practice address
4600 W Colfax Ave
Denver, CO 80204-1121
Phone
(303) 893-0600
NPI assigned
Dec 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Authorized official

Name
Benjamin Hrouda
Title
Managing Partner
Phone
(303) 929-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 230488 CO Primary

Addresses

Primary practice location

4600 W Colfax Ave
Denver, CO 80204-1121

Mailing address

2828 N Speer Blvd Unit 240
Denver, CO 80211-4236
Phone (303) 929-9955

Other names 1

  • Golden Manor Doing business as

National Provider Directory

National Provider Directory

Locations

2828 N Speer Blvd
Unit 240
Denver, CO 80211

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1801302898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 N SPEER BLVD UNIT 240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114236",
            "telephone_number": "303-929-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 W COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041121",
            "telephone_number": "303-893-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MANOR OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "HROUDA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "303-929-9955"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "230488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 28, 2017; 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.