JUSTIN BENNETT WILEY NPI 1558844472

NPI Information

  • NPI: 1558844472
  • Provider Name: JUSTIN BENNETT WILEY
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Individual
  • Address: 3113 TELLER ST
    WHEAT RIDGE, CO
    ZIP 80033
  • Phone: (303) 233-2808

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NPI Details

Justin Bennett Wiley is an assisted living facility in Wheat Ridge, 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. Justin Bennett Wiley NPI is 1558844472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3113 TELLER ST
WHEAT RIDGE, CO
ZIP 80033-057
Phone: (303) 233-2808

The enumeration date for this NPI number is 9/7/2018 and was last updated on 9/19/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility230414COLORADOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1230414MEDICAIDCOLORADO

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: 11/21/2025

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