TAYVON MICHELE SHAZIER


Address: 14195 Montview Blvd, Apt 14, Aurora, CO 80011-4289
Phone: 3037487049

TAYVON MICHELE SHAZIER (NPI# 1023463650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023463650
Entity Type Individual
Full Name TAYVON MICHELE SHAZIER
Practice Address 14195 Montview Blvd
Apt 14
Aurora
CO 80011-4289
Mailing Address 14195 Montview Blvd Apt 14
Aurora
CO 80011-4274
Practice Telephone 3037487049
Mailing Telephone 3037487049
Enumeration Date 2016-05-02
Last Update Date 2016-05-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 091630512 CO Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO KAISER PERMANENTE 412168284 01

Office Location

Street Address 14195 MONTVIEW BLVD
APT 14
City AURORA
State CO
Zip Code 80011-4289

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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700419488 Hanna Cares, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6550 S Ider St, Aurora, CO 80016-1251 2020-02-20
1649836982 Esther House Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1051 Lima St, Aurora, CO 80010-3701 2019-05-13
1952816795 Sozo Sss International LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6324 S Sicily Way, Aurora, CO 80016-7009 2017-12-01
1619408366 Dd Squared Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1580 S Salida Way, Aurora, CO 80017-4210 2017-03-24
1619419686 Hope Agency Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 14532 E Atlantic Dr, Aurora, CO 80014-1514 2016-11-08
1104261148 Dan Hopkins & Associates, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 7127 S Quemoy St, Aurora, CO 80016-6025 2013-05-03
1780982405 Denis Neba Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 14668 E Baltic Pl, Aurora, CO 80014-1563 2011-03-03
1093735938 Sequel Schools, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 998 Corporate Blvd, Aurora, IL 60502-9102 2006-07-21
1225650393 Launch Pad LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1420 Kenton St, Aurora, CO 80010-3580 2020-05-12
1336687508 Saadia Magdi Yahia Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 14801 E 18th Place, Aurora, CO 80011 2017-02-07
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City AURORA
Zip Code 80011

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Dataset Information

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.

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