Ethos Healthcare LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ETHOS HEALTHCARE LLC

Practice address

6795 E Tennessee Ave Ste 1-414
Denver, CO 80224-1614

Phone

(720) 840-0744

NPI assigned

May 18, 2023

Organization subpart

No

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

Authorized official

Name

Misiker Asefa

Title

Director

Phone

(720) 840-0744

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1992496947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVE STE 1-414",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241614",
            "telephone_number": "720-840-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVE STE 1-414",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241614",
            "telephone_number": "720-840-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "ASEFA",
        "authorized_official_first_name": "MISIKER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "720-840-0744"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melanie Elizabeth Esver, MA CF-SLP
• Michael Etcheverry
• April Michelle Etheridge-Bosworth, PHARM.D.
• Jamie Etl, LCSW
• Charles Ettelson, PA-C
• Jenny Ettinger, LMT
• Alexa Eubank, LCSW
• Jessica Rae Eubanks, CMT

• All providers in Denver, CO
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.