Organization Active NPI

Eternal Life Care Centers, LLC

  • Assisted Living Facility
  • Wheat Ridge, CO
National Provider Identifier
1831562131
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
23M130 Issued in CO
Legal business name
ETERNAL LIFE CARE CENTERS, LLC
Doing business as
Hearts and Hands Assisted Senior Care
Practice address
4370 Ingalls Street
Wheat Ridge, CO 80033
Phone
(303) 975-6723
Fax
(888) 714-3305
NPI assigned
Nov 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Mr. Joel Albert Lammers
Title
Managing Member
Phone
(303) 423-7037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 23M130 CO Primary

Addresses

Primary practice location

4370 Ingalls Street
Wheat Ridge, CO 80033

Mailing address

6196 W 75TH PL
Arvada, CO 80003-2806
Phone (303) 423-7037

Other identifiers 1

IdentifierTypeStateIssuer
25038761MedicaidCO

Other names 1

  • Hearts and Hands Assisted Senior Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1831562131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6196 W 75TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032806",
            "telephone_number": "303-423-7037",
            "fax_number": "888-714-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 INGALLS STREET",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-975-6723",
            "fax_number": "888-714-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL LIFE CARE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "LAMMERS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "303-423-7037",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23M130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25038761",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearts and Hands Assisted Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.