Bio Renewal Health, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

103681 Issued in CO

Legal business name

BIO RENEWAL HEALTH, LLC

Practice address

14901 E Hampden Ave
Suite 140
Aurora, CO 80014-5065

Phone

(303) 627-1400

Fax

(866) 893-1180

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Deanna R Tolman, DNP

Title

Owner

Phone

(303) 627-1400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1992121784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 E HAMPDEN AVE",
            "address_2": "SUITE 140",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145065",
            "telephone_number": "303-627-1400",
            "fax_number": "866-893-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 E HAMPDEN AVE",
            "address_2": "SUITE 140",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145065",
            "telephone_number": "303-627-1400",
            "fax_number": "866-893-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO RENEWAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "TOLMAN",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-627-1400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "103681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.