ENGLEWOOD SENIOR LIVING, LLC (NPI# 1174658090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174658090 |
| Entity Type | Organization |
| Organization Name | ENGLEWOOD SENIOR LIVING, LLC |
| Other Organization Name | CALEY RIDGE ASSISTED LIVING COMMUNITY |
| Practice Address |
9350 E Caley Ave Englewood CO 80111-5364 |
| Mailing Address |
Po Box 3006 Salem OR 97302-0006 |
| Practice Telephone | 3037218900 |
| Mailing Telephone | 5034854600 |
| Mailing Fax Number | 5034851495 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN M HARDER (CEO) |
| Authorized Official Telephone | 5034854600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Caley Ridge Assisted Living Community | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Englewood Senior Living, LLC | 625 Hawthorne Ave. Se, Suite 100, Salem, OR 97301-6865 |
| Street Address |
9350 E CALEY AVE |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80111-5364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992292239 | Caley Ridge Operations, LLC | Assisted Living Facility | 9350 E Caley Ave, Englewood, CO 80111-5364 | 2018-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
| 1003381252 | Bing Xu | Non-emergency Medical Transport (VAN) | 9000 E Caley Way, Greenwood Village, CO 80111 | 2018-10-03 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1902343718 | Jennifer Bielefeld | Registered Nurse | 6162 South Willow Dr., Suite 100, Greenwood Village, CO 80111 | 2017-01-31 |
| 1225589807 | Osama M Kassab | Chiropractor | 5690 Dtc Blvd Ste 140e, Greenwood Village, CO 80111 | 2016-10-19 |
| 1891242400 | Samantha Fiegel | Counselor | 6021 S Syracuse Way Ste 216, Greenwood Village, CO 80111 | 2016-09-01 |
| 1831644368 | Melissa Fischer Alconcel | Dentist | 8940 E. Crescent Parkway, Suite 370, Greenwood Village, CO 80111 | 2016-08-25 |
| 1245680263 | Carron Maclean | Counselor | 5310 Dtc Pkwy Ste A, Greenwood Village, CO 80111 | 2016-06-21 |
| 1326493792 | Insight Psychotherapy LLC | Counselor | 7350 E Progress Place, Suite 100, Greenwood Village, CO 80111 | 2016-05-04 |
| 1457705410 | Amy Flora | Occupational Therapist | 5750 Dtc Pkwy #170, Greenwood Village, CO 80111 | 2016-04-15 |
| Find all providers in zip 80111 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052500 | A1 Restorative Care | Assisted Living Facility | 4050 S Fox St, Englewood, CO 80110-4563 | 2020-04-16 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1194244954 | Actors Fund of America | Assisted Living Facility | 155-175 West Hudson Avenue, Englewood, NJ 07631-1609 | 2017-09-13 |
| 1508130956 | Millbrook Homes LLC | Assisted Living Facility | 5809 S Kenton Way, Englewood, CO 80111-3950 | 2012-03-02 |
| 1093959777 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 350 Union Road, Englewood, OH 45322-2196 | 2009-04-27 |
| 1306031844 | Karrington of Englewood Ltd | Assisted Living Facility | 95 W Wenger Rd, Englewood, OH 45322-2723 | 2007-09-07 |
| 1245422211 | Sunrise Carmel Assisted Living LLC | Assisted Living Facility | 95 W. Wenger Rd., Englewood, OH 45322 | 2007-08-14 |
| 1659456911 | Actors Fund of America | Assisted Living Facility | 155 175 W Hudson Avenue, Englewood, NJ 07631-1609 | 2006-10-26 |
| 1194813915 | American Housing Foundation 1 | Assisted Living Facility | 3426 S Marion St, Englewood, CO 80113-2920 | 2006-10-10 |
| 1396722567 | Englewood Adult Care Home, Inc. | Assisted Living Facility | 280 Pine St, Englewood, FL 34223-3948 | 2005-12-28 |
| Find all providers in ENGLEWOOD | ||||
Please comment or provide details below to improve the information on ENGLEWOOD SENIOR LIVING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.