NPIMap

Organization Active NPI

Golden Peak Recovery

  • Substance Abuse Rehabilitation Facility
  • Glendale, CO
National Provider Identifier
1831673763
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GOLDEN PEAK RECOVERY
Practice address
4411 E Kentucky Ave
Glendale, CO 80246-2009
Phone
(855) 694-8619
Fax
(305) 930-7437
NPI assigned
Sep 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Mr. Robert Niznik
Title
Ceo
Phone
(855) 694-8619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4411 E Kentucky Ave
Glendale, CO 80246-2009

Mailing address

1515 NW 167TH St Ste 300
Miami Gardens, FL 33169-5106
Phone (786) 923-3376

Other practice location 1

2305 S Fenton Dr
Lakewood, CO 80227-3975
Phone (855) 694-8619

Other practice location 2

2300 S Balsam Ln
Lakewood, CO 80227-3162
Phone (855) 694-8619

Other identifiers 1

IdentifierTypeStateIssuer
2080-01OtherCOCOLORADO DEPARTMENT OF HUMAN SERVICES

Other names 1

  • Golden Peak Recovery Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Golden Peak Recovery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1831673763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 NW 167TH ST STE 300",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695106",
            "telephone_number": "786-923-3376",
            "fax_number": "786-930-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 E KENTUCKY AVE",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462009",
            "telephone_number": "855-694-8619",
            "fax_number": "305-930-7437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 S Fenton Dr",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802273975",
            "country_code": "US",
            "telephone_number": "855-694-8619",
            "fax_number": "786-930-7437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 S Balsam Ln",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802273162",
            "country_code": "US",
            "telephone_number": "855-694-8619",
            "fax_number": "786-930-7437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDEN PEAK RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "NIZNIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-694-8619",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF HUMAN SERVICES",
            "identifier": "2080-01",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Peak Recovery",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Golden Peak Recovery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glendale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.