Active NPI
Heshmat Khajehzadeh
- Adult Day Care Clinic/Center
- Westminster, CO
National Provider Identifier
1821709775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Practice address
- 9140 W 100TH Ave
Westminster, CO 80021-6810 - Phone
- (720) 217-6994
- NPI assigned
- Dec 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
9140 W 100TH Ave
Westminster, CO 80021-6810
Mailing address
9140 W 100TH Ave
Westminster, CO 80021-6810
Phone (720) 217-6994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 834123456 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angels Adult Care Inc | Current | Accepting new patients |
Locations
9140 W 100th Ave
Westminster, CO 80021
Phone (720) 217-6994
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Care Home Facility
- Westminster, CO
- NPI 1891482907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1821709775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9140 W 100TH AVE",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800216810",
"telephone_number": "720-217-6994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9140 W 100TH AVE",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800216810",
"telephone_number": "720-217-6994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAJEHZADEH",
"first_name": "HESHMAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "834123456",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.