Organization Active NPI

Makarios Assisted Living LLC

  • Assisted Living Facility
  • Aurora, CO
National Provider Identifier
1992015192
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
23W788 Issued in CO
Legal business name
MAKARIOS ASSISTED LIVING LLC
Practice address
17003 E. Pacific PL
Aurora, CO 80013
Phone
(720) 404-1445
Fax
(303) 696-9176
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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 23W788 CO Primary

Addresses

Primary practice location

17003 E. Pacific PL
Aurora, CO 80013

Mailing address

17003 E. Pacific PL
Aurora, CO 80013
Phone (720) 404-1445

Other names 1

  • Aurora Makarios Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2231235Aurora Makarios Assisted Living17003 E Pacific Place, Aurora, CO 80013Certificate of waiverJul 30, 2027

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": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1992015192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17003 E. PACIFIC PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80013",
            "telephone_number": "720-404-1445",
            "fax_number": "303-696-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17003 E. PACIFIC PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80013",
            "telephone_number": "720-404-1445",
            "fax_number": "303-696-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKARIOS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "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": "23W788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Makarios Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.