ALADDIN ASSISTED LIVING LLC NPI 1679509921

NPI Information

  • NPI: 1679509921
  • Provider Name: ALADDIN ASSISTED LIVING, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: ALADDIN AT BRUSH
  • CLIA Number: 06D2231986
  • Address: 2415 MULLINS AVE
    SUITE 4
    ALAMOSA, CO
    ZIP 81101
  • Phone: (719) 589-2063

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NPI Details

ALADDIN ASSISTED LIVING, LLC is an assisted living facility in Alamosa, 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. ALADDIN ASSISTED LIVING, LLC NPI is 1679509921. The provider is registered as an organization entity type.
The provider Is Doing Business As Aladdin At Brush.

The provider's business location address is:

2415 MULLINS AVE
SUITE 4
ALAMOSA, CO
ZIP 81101-274
Phone: (719) 589-2063

The provider's authorized official is Jaunita Reynolds .
The authorized official title is Accounts Receivable Accountant and has the following contact phone number (719) 589-2063.

The CLIA number assigned to this NPI record is 06D2231986 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL-0520COLORADOYes

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
160729236MEDICAIDCOLORADO

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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