COLORADO STATE VETERANS HOME AT FITZSIMONS (NPI# 1073500450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073500450 |
| Entity Type | Organization |
| Organization Name | COLORADO STATE VETERANS HOME AT FITZSIMONS |
| Practice Address |
1919 Quentin St Aurora CO 80010-7125 |
| Practice Telephone | 7208576400 |
| Practice Fax Number | 7208576500 |
| Mailing Telephone | 7208576400 |
| Mailing Fax Number | 7208576500 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GARY NMN KOTZ (ADMINISTRATOR) |
| Authorized Official Telephone | 7208576423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0666 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 15088219 | 05 | |
| CO | 82159815 | 05 |
| Street Address |
1919 QUENTIN ST |
| City | AURORA |
| State | CO |
| Zip Code | 80010-7125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699383109 | Broadvistas Psychology LLC | Psychologist | 1919 Quentin St, Aurora, CO 80045-7125 | 2020-07-21 |
| 1326422759 | Broadvistas Psychology LLC | Psychologist | 1919 Quentin St, Aurora, CO 80045-7125 | 2015-07-15 |
| 1619360229 | Katrina Norris | Social Worker | 1919 Quentin St, Aurora, CO 80045-7125 | 2015-03-07 |
| 1811336472 | Christopher England | Physical Therapy Assistant | 1919 Quentin St, Aurora, CO 80045-7125 | 2013-06-17 |
| 1053579177 | State of Colorado | Pharmacy | 1919 Quentin St, Aurora, CO 80045-7125 | 2008-05-27 |
| 1699972323 | Thomas Judson Broadhurst | Psychologist | 1919 Quentin St, Aurora, CO 80045-7125 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255991659 | Jennifer Hummer Fisher | Registered Nurse | Dawn Clinic, 1445 Dayton St, Aurora, CO 80010 | 2019-06-18 |
| 1770147662 | Lindsey Grace Torres | Counselor | 1455 Beeler Str., Aurora, CO 80010 | 2019-04-25 |
| 1700359536 | Jose Alberto Diaz Leo | Registered Nurse | 9801 East Colfax, Suite 130, Aurora, CO 80010 | 2019-01-04 |
| 1235617440 | Jose Francisco Gurruchaga | Student in an Organized Health Care Education/Training Program | 1504 Galena St., Aurora, CO 80010 | 2018-07-31 |
| 1659727907 | Nauliate Hutagalung | Case Manager/Care Coordinator | 995 Kenton St, Aurora, CO 80010 | 2016-05-05 |
| 1144626888 | Diana Hinojosa | Psychologist | 10680 Del Mar Pkwy, Aurora, CO 80010 | 2014-11-06 |
| 1487059614 | Jyoti Sapkota | Counselor | 1537 Alton St., Aurora, CO 80010 | 2014-10-30 |
| 1972925543 | Sonam Khanal | Social Worker | 1537 Alton St, Aurora, Aurora, CO 80010 | 2014-01-15 |
| 1487925665 | Ardas LLC | Clinic/Center | 10180 E Colfax Ave Ste 150, Aurora, CO 80010 | 2012-01-20 |
| 1255666376 | Smile 5 Professionals LLC | Dentist | 10401 East Colfax Ave, Aurora, CO 80010 | 2009-10-07 |
| Find all providers in zip 80010 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
| 1063935369 | Quality Care Solutions, L.L.C. | Skilled Nursing Facility | 1313 1st St, Aurora, NE 68818 | 2017-07-19 |
| 1891247714 | Aurora /transitional /care, LLC | Skilled Nursing Facility | 13525 E 23rd Ave, Aurora, CO 80045 | 2016-10-26 |
| 1205234622 | Progressive Aurora LLC | Skilled Nursing Facility | 425 S Chillicothe Rd, Aurora, OH 44202-6548 | 2014-12-17 |
| 1376706010 | Jennings Terrace | Skilled Nursing Facility | 275 S. Lasalle Street, Aurora, IL 60505 | 2008-07-02 |
| 1528288966 | Ahc of Aurora, LLC | Skilled Nursing Facility | 1800 S. Potomac, Aurora, CO 80012-5430 | 2007-04-26 |
| 1821212739 | Fox River Pavilion Limited Partnership | Skilled Nursing Facility | 400 E New York St, Aurora, IL 60505-3425 | 2007-04-12 |
| 1508931536 | State of Colorado | Skilled Nursing Facility | 1919 Quentin Street, Aurora, CO 80045 | 2006-11-22 |
| 1447350491 | Aurora Manor Limited Partnership | Skilled Nursing Facility | 101 S Bissell Rd, Aurora, OH 44202-9170 | 2006-09-22 |
| 1083710883 | Elmwood Terrace Healthcare Inc | Skilled Nursing Facility | 1017 W Galena Blvd, Aurora, IL 60506-3753 | 2006-09-16 |
| Find all providers in AURORA | ||||
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| 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.