Mastercare LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MASTERCARE LLC

Practice address

5201 Truckee St
Denver, CO 80249-8789

Phone

(720) 404-9701

NPI assigned

May 4, 2023

Last updated

May 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Frank Ogedegbe

Title

Director/Owner

Phone

(720) 404-9701

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1861181893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 TRUCKEE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802498789",
            "telephone_number": "720-404-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 TRUCKEE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802498789",
            "telephone_number": "720-404-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "OGEDEGBE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "720-404-9701"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan T. Massey
• Jordan Michael Mast, PA-C
• Samantha Mastaler
• Katarzyna Agnieszka Mastalerz, M.D.
• Master Plan Hearing Aid Co., Inc.
• Masterpiece Transportation LLC
• Scott Russell Masters, MD
• Rosalyn Masterson, CAC III
• Mastery Neuroscience Training Certified LLC
• Duane Rodgers-Perez Mata, D.D.S.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Denver, CO
• Providers in Denver, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.