656 Dillon Way Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0389 Issued in CO

Legal business name

656 DILLON WAY OPERATIONS LLC

Doing business as

Aspen Center

Practice address

656 Dillon Way
Aurora, CO 80011-6803

Phone

(303) 344-0636

Fax

(303) 344-0639

NPI assigned

May 11, 2006

Last updated

Dec 21, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

SUNBRIDGE HEALTHCARE LLCAs reported in NPPES

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

Authorized official

Name

Thomas Divittorio

Title

Cfo, Treasurer, Asst Secretary

Phone

(610) 444-6350

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Aspen Center Doing business as

Part of

Sunrise HLTH Care Corp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sunbridge Healthcare LLC

  dba Columbia Crest Center

  • Skilled Nursing Facility
  • Moses Lake, WA
  • NPI 1982651758

  Member Of

  NPD member

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1831149962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "address_2": "REIMBURSEMENT",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "505-468-4742",
            "fax_number": "505-468-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 DILLON WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116803",
            "telephone_number": "303-344-0636",
            "fax_number": "303-344-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "656 DILLON WAY OPERATIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE LLC",
        "enumeration_date": "2006-05-11",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "DIVITTORIO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO, TREASURER, ASST SECRETARY",
        "authorized_official_telephone_number": "610-444-6350"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0389",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "7100495",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO ACCESS",
            "identifier": "522089013",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05652953",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aspen Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Aurora, CO
• Providers in Aurora, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.