Organization Active NPI

Makarios Assisted Living LLC

Doing business as Makarios Kit Carson

  • Assisted Living Facility
  • Centennial, CO
National Provider Identifier
1942453410
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
23R160 Issued in CO
Legal business name
MAKARIOS ASSISTED LIVING LLC
Doing business as
Makarios Kit Carson
Practice address
7488 S Kit Carson St
Centennial, CO 80122-1495
Phone
(720) 404-1445
Fax
(303) 933-2011
NPI assigned
Oct 28, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Mr. Suyatno Fnu
Title
Owner
Phone
(720) 404-1445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 23R160 CO Primary

Addresses

Primary practice location

7488 S Kit Carson St
Centennial, CO 80122-1495

Mailing address

19148 E Lasalle PL
Aurora, CO 80013-6454
Phone (720) 404-1445

Other names 1

  • Makarios Kit Carson Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Makarios Assisted Living LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1942453410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19148 E LASALLE PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800136454",
            "telephone_number": "720-404-1445",
            "fax_number": "303-933-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7488 S KIT CARSON ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221495",
            "telephone_number": "720-404-1445",
            "fax_number": "303-933-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKARIOS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "FNU",
        "authorized_official_first_name": "SUYATNO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-404-1445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23R160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Makarios Kit Carson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.