IDYLLWOOD MANOR AT ANDES CT., LLC (NPI# 1417310509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417310509 |
| Entity Type | Organization |
| Organization Name | IDYLLWOOD MANOR AT ANDES CT., LLC |
| Practice Address |
5286 S Andes Ct Centennial CO 80015-4896 |
| Mailing Address |
Po Box 2253 Parker CO 80134-1414 |
| Practice Telephone | 3035134784 |
| Practice Fax Number | 3037995837 |
| Mailing Telephone | 3035134784 |
| Mailing Fax Number | 3037995837 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | BOB MANZI (MEMBER) |
| Authorized Official Telephone | 3035134784 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 23V725 | CO | Nursing & Custodial Care Facilities |
| Street Address |
5286 S ANDES CT |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80015-4896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1033602792 | 4abilities, LLC. | Non-emergency Medical Transport (VAN) | 5105 S Valdai Street, Aurora, CO 80015 | 2018-06-07 |
| 1952827719 | 1st Centennial Home Health LLP | Home Health | 5418 S Danube Way, Centennial, CO 80015 | 2017-08-14 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1467909028 | Silver Touch Home Care | In Home Supportive Care | 21804 E. Lake Pl, Aurora, CO 80015 | 2016-09-01 |
| 1417302514 | Michelle Dinges | Dietitian, Registered | 5606 S Helena Ct, Centennial, CO 80015 | 2016-04-27 |
| 1043664907 | Gomgom Siregar | Home Health Aide | 5235 S Liverpool Way, Centennial, CO 80015 | 2016-04-18 |
| 1104280528 | Lloyd Reliford | Custodial Care Facility | 5556 S Jericho Way, Centennial, CO 80015 | 2016-04-12 |
| 1003279563 | Victoria Care Services | Respite Care | 17285 E Wagontrail Pkwy, Aurora, CO 80015 | 2016-04-01 |
| 1699130104 | Gina Michelle Fernandez | Physician Assistant | 14813 E Radcliff Pl, Aurora, CO 80015 | 2015-12-28 |
| Find all providers in zip 80015 | ||||
| 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 |
|---|---|---|---|---|
| 1093339665 | Graceful Hearts Assisted Living | Assisted Living Facility | 6780 E Lake Cir, Centennial, CO 80111-4410 | 2020-05-30 |
| 1417481144 | Andira Inc | Assisted Living Facility | 6666 S Piney Creek Cir, Centennial, CO 80016-1108 | 2017-04-19 |
| 1578912234 | Rustic Rose Assisted Living | Assisted Living Facility | 19458 E Euclid Dr, Centennial, CO 80016-1230 | 2016-06-03 |
| 1659732055 | Colorado Assisted Living Homes Panama | Assisted Living Facility | 1051 E Panama Dr, Centennial, CO 80121-2506 | 2016-03-11 |
| 1225499627 | Colorado Assisted Living Homes Easter | Assisted Living Facility | 7741 E Easter Pl, Centennial, CO 80112-1735 | 2016-03-11 |
| 1962863365 | Colorado Assisted Living Homes Wellington | Assisted Living Facility | 7681 S Wellington St, Centennial, CO 80122-3054 | 2016-03-11 |
| 1568864981 | St Petro LLC | Assisted Living Facility | 7032 S Franklin St, Centennial, CO 80122 | 2014-09-17 |
| 1093062341 | Penny Lane Assisted Living, Inc | Assisted Living Facility | 7463 E Costilla Pl, Centennial, CO 80112-1216 | 2012-08-06 |
| 1124325014 | Campbell-muljanah Enterprises | Assisted Living Facility | 4468 E Lake Cir S, Centennial, CO 80121-3314 | 2011-02-11 |
| 1942453410 | Makarios Assisted Living LLC | Assisted Living Facility | 7488 S Kit Carson St, Centennial, CO 80122-1495 | 2008-10-28 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80015 |
Please comment or provide details below to improve the information on IDYLLWOOD MANOR AT ANDES CT., 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.