Icare Assisted Living Facility-Ulster LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ICARE ASSISTED LIVING FACILITY-ULSTER LLC

Practice address

7208 S Ulster St
Centennial, CO 80112-1821

Phone

(720) 313-6385

NPI assigned

Dec 4, 2024

Organization subpart

No

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

Authorized official

Name

Fahrren Bolastig

Title

Administrator

Phone

(720) 313-6385

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1871309914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7208 S ULSTER ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121821",
            "telephone_number": "720-313-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 S ULSTER ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121821",
            "telephone_number": "720-313-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE ASSISTED LIVING FACILITY-ULSTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "BOLASTIG",
        "authorized_official_first_name": "FAHRREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-313-6385"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.