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EASLEY SENIOR CARE LLC NPI 1003427311


NPI Information

NPI: 1003427311
Provider Name: EASLEY SENIOR CARE LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 06D2187115

Address:
17351 W 64TH AVE
ARVADA, CO
ZIP 80007
Phone: (720) 907-9071
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EASLEY SENIOR CARE LLC is an assisted living facility in Arvada, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. EASLEY SENIOR CARE LLC NPI is 1003427311. The provider is registered as an organization entity type.

The provider's business location address is:

17351 W 64TH AVE
ARVADA, CO
ZIP 80007-796
Phone: (720) 907-9071

The provider's authorized official is Mary Johnson .
The authorized official title is Controller and has the following contact phone number (303) 597-0562.

The CLIA number assigned to this NPI record is 06D2187115 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2020 and was last updated on 8/11/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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