Mia-Master Internal Awareness LTD

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

MIA-MASTER INTERNAL AWARENESS LTD

Practice address

11678 Huron St Ste 150
Northglenn, CO 80234-2929

Phone

(303) 366-3882

Fax

(303) 366-3845

NPI assigned

Nov 11, 2024

Organization subpart

No

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

Authorized official

Name

Brenda Lea Vigil

Title

Owner/Director

Phone

(303) 366-3882

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1952125445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11678 HURON ST STE 150",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342929",
            "telephone_number": "303-366-3882",
            "fax_number": "303-366-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11678 HURON ST STE 150",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342929",
            "telephone_number": "303-366-3882",
            "fax_number": "303-366-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA-MASTER INTERNAL AWARENESS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "303-366-3882"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Ryan Mendoza III, M.D.
• Jordan Holly Mendoza, M.D.
• Erin M Mercer, M.A, CCC-SLP
• Tayler Mese
• Beryl Meyertons, L.AC RN
• Michael B. Stern, D.P.M., P.C.
• John Walter Mikitson, M.A.,LPC
• Mile High Psychiatry, LLC
• Ivo Milic-Strkalj
• Jessica Lynne Miller, NCMTB

• Custodial Care Facility in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Custodial Care Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.