CENTENNIAL REHABILITATION ASSOCIATES (NPI# 1619015336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619015336 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL REHABILITATION ASSOCIATES |
| Practice Address |
14364 E Evans Ave Aurora CO 80014-1493 |
| Practice Telephone | 3033684500 |
| Practice Fax Number | 3033681333 |
| Mailing Telephone | 3033684500 |
| Mailing Fax Number | 3033681333 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2012-10-12 |
| Authorized Official Name | DENNIS BOYD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3033684500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
14364 E EVANS AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80014-1493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538274691 | Richard L Stieg | Specialist | 14364 E Evans Ave, Suite 202, Aurora, CO 80014-1493 | 2006-08-20 |
| 1720527930 | Smith Agency | Foster Care Agency | 14364 E Evans Ave, Aurora, CO 80014-1408 | 2017-02-21 |
| 1881137743 | Smith Agency | In Home Supportive Care | 14364 E Evans Ave, Aurora, CO 80014-1408 | 2016-11-28 |
| 1780980607 | Micah J Foster | Specialist/Technologist | 14364 E Evans Ave, Aurora, CO 80014-1408 | 2011-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164906111 | Choices Treatment Center | Clinic/Center | 2823 Pontiac Dr, Aurora, IL 60502-8806 | 2018-09-16 |
| 1326543497 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Clinic/Center | 1600 Florence St, Aurora, CO 80010-2130 | 2018-03-29 |
| 1386805364 | Richcreek Therapy Ltd | Clinic/Center | 15200 E Girard Ave Ste 1900, Aurora, CO 80014-5048 | 2008-06-22 |
| 1609053297 | Advanced Primary Health Care Sc | Clinic/Center | 1256 Waterford Drive, Suite 110, Aurora, IL 60504 | 2008-01-25 |
| 1518155282 | Kaiser Permanente | Clinic/Center | 17060 E Atlantic Pl, Aurora, CO 80013-1238 | 2007-10-09 |
| 1154515815 | Kt Physical Therapy, PC | Clinic/Center | 2993 S. Peoria Street, Suite 104, Aurora, CO 80014-5704 | 2007-09-05 |
| 1205940921 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 16601 E Centretech Parkway, Aurora, CO 80111 | 2006-08-19 |
| 1568076982 | Step Therapy LLC | Clinic/Center | 14095 E Exposition Ave, Aurora, CO 80012-2522 | 2020-09-02 |
| 1376103218 | University of Colorado Hospital Authority | Clinic/Center | 13001 E 17th Pl Fl 2, Aurora, CO 80045-2570 | 2019-06-13 |
| 1831653062 | Satisfy Nutrition LLC | Clinic/Center | 13710 E Rice Pl Ste 220, Aurora, CO 80015-1074 | 2019-01-22 |
| 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.