Organization Active NPI

Assisted Living at Floyd, LLC

  • Point of Service
  • Englewood, CO
National Provider Identifier
1821301938
Registry record updated Jul 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
23049N Issued in CO
Legal business name
ASSISTED LIVING AT FLOYD, LLC
Practice address
2330 E Floyd Ave
Englewood, CO 80113-3124
Phone
(720) 480-1326
NPI assigned
Jul 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2010

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

Authorized official

Name
Ms. Viktoria Klyachko
Title
Owner
Phone
(720) 480-1326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 23049N CO Primary

Addresses

Primary practice location

2330 E Floyd Ave
Englewood, CO 80113-3124

Mailing address

4076 S Carson Way
Aurora, CO 80014-8101
Phone (720) 480-1326

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279324800000",
    "number": "1821301938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 S CARSON WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800148101",
            "telephone_number": "720-480-1326",
            "fax_number": "303-757-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 E FLOYD AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133124",
            "telephone_number": "720-480-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING AT FLOYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-17",
        "last_updated": "2010-07-17",
        "status": "A",
        "authorized_official_last_name": "KLYACHKO",
        "authorized_official_first_name": "VIKTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-480-1326",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CO",
            "license": "23049N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2010; 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.