Colorado Assisted Living Homes

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

2304BH Issued in CO

Legal business name

COLORADO ASSISTED LIVING HOMES

Doing business as

Columbine Assisted Living Management INC

Practice address

5424 W Rowland PL
Littleton, CO 80128-4958

Phone

(303) 324-0834

Fax

(303) 948-0570

NPI assigned

Feb 10, 2016

Last updated

Jun 9, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

COLORADO ASSISTED LIVING HOMESAs reported in NPPES

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

Authorized official

Name

Ms. Michelle T Simonaitis

Title

Owner

Phone

(303) 324-0834

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Columbine Assisted Living Management INC Doing business as

Tax ID family

Colorado Assisted Living Homes3 organizations share this tax ID, including this one

Part of

Colorado Assisted Living Homes

Other organizations with this tax ID 2

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

• Colorado Assisted Living Homes

  dba Columbine Assisted Living Management INC

  • Point of Service
  • Littleton, CO
  • NPI 1013377274
  NPD tax ID
• Colorado Assisted Living Homes

  dba Columbine Assisted Living Management INC

  • Point of Service
  • Littleton, CO
  • NPI 1104286376
  NPD tax ID

Locations

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1992163596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6638 W OTTAWA AVE",
            "address_2": "SUITE 150-1",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284562",
            "telephone_number": "303-324-0834",
            "fax_number": "303-948-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 W ROWLAND PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284958",
            "telephone_number": "303-324-0834",
            "fax_number": "303-948-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO ASSISTED LIVING HOMES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO ASSISTED LIVING HOMES",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "SIMONAITIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-324-0834",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CO",
            "license": "2304BH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51921324",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbine Assisted Living Management INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in Littleton, CO
• Providers in Littleton, CO by specialty
• Point of Service in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.