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A WILDFLOWER ASSISTED LIVING AND CARE HOME INC NPI 1174063713


NPI Information

NPI: 1174063713
Provider Name: A WILDFLOWER ASSISTED LIVING AND CARE HOME INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 06D2231209

Address:
9423 W 64TH AVE
ARVADA, CO
ZIP 80004
Phone: (720) 628-9092
Get Directions

A WILDFLOWER ASSISTED LIVING AND CARE HOME INC 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. A WILDFLOWER ASSISTED LIVING AND CARE HOME INC NPI is 1174063713. The provider is registered as an organization entity type.

The provider's business location address is:

9423 W 64TH AVE
ARVADA, CO
ZIP 80004-237
Phone: (720) 628-9092
Fax: (866) 941-5820

The provider's authorized official is Nicole Schiavone .
The authorized official title is Owner and has the following contact phone number (720) 628-9092.

The CLIA number assigned to this NPI record is 06D2231209 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2017 and was last updated on 3/1/2017.


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 Facility23H526COLORADONo
2310400000XAssisted Living Facility23A411COLORADONo
3310400000XAssisted Living Facility23O410COLORADONo
4310400000XAssisted Living Facility23X367COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19000143196MEDICAIDCOLORADO
204405374MEDICAIDCOLORADO
39000133109MEDICAIDCOLORADO
49000138301MEDICAIDCOLORADO
59000133104MEDICAIDCOLORADO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.