EXTENDED CARE LLC (NPI# 1710542899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710542899 |
| Entity Type | Organization |
| Organization Name | EXTENDED CARE LLC |
| Practice Address |
3190 S Vaughn Way Ste 550 Aurora CO 80014-3538 |
| Practice Telephone | 7202133830 |
| Practice Fax Number | 7202133831 |
| Mailing Telephone | 7202133830 |
| Mailing Fax Number | 7202133831 |
| Enumeration Date | 2019-05-05 |
| Last Update Date | 2019-05-05 |
| Authorized Official Name | MRS. LATASHA STEPHENSON (OWNER/ EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7202133830 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 347E00000X | Transportation Broker | Transportation Services | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Extended Care LLC | 3190 S. Vaughn Way, Suite 550, Aurora, CO 80014 |
| Street Address |
3190 S VAUGHN WAY STE 550 |
| City | AURORA |
| State | CO |
| Zip Code | 80014-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275917601 | Caps Consultants LLC | Psychologist | 3190 S Vaughn Way Ste 550, Aurora, CO 80014-3512 | 2015-07-15 |
| 1134749476 | Lighthouse Mental Wellness | Public Health or Welfare | 3190 S Vaughn Way Ste 550, Aurora, CO 80014-3538 | 2020-04-16 |
| 1326601402 | Emerald Beryl Hca | In Home Supportive Care | 3190 S Vaughn Way Ste 550, Aurora, CO 80014-3538 | 2019-04-15 |
| 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 | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264578 | Parker Personal Care Homes, Inc. | Day Training, Developmentally Disabled Services | 14001 E Iliff Ave Ste 204, Aurora, CO 80014-1425 | 2020-08-04 |
| 1356950679 | Bethel Agency | Day Training, Developmentally Disabled Services | 998 S Zeno Way, Aurora, CO 80017-3329 | 2020-07-23 |
| 1235765165 | Infinite Compassion | Day Training, Developmentally Disabled Services | 3819 S Quintero Cir, Aurora, CO 80013-3122 | 2020-03-23 |
| 1619509528 | 4evercare LLC | Day Training, Developmentally Disabled Services | 2575 S Fundy Cir, Aurora, CO 80013-7698 | 2020-02-08 |
| 1770113805 | Love and Support LLC | Day Training, Developmentally Disabled Services | 20387 E Dartmouth Dr, Aurora, CO 80013-8437 | 2020-01-16 |
| 1659911683 | Resonance Care Services LLC | Day Training, Developmentally Disabled Services | 14576 E Temple Pl, Aurora, CO 80015-1217 | 2020-01-07 |
| 1134769169 | Arise Community Services | Day Training, Developmentally Disabled Services | 2552 S Pagosa Way, Aurora, CO 80013-1543 | 2020-01-07 |
| 1598300493 | Shields Foundation LLC | Day Training, Developmentally Disabled Services | 15463 E Milan Dr, Aurora, CO 80013-2517 | 2019-11-14 |
| 1437794393 | Plant A Seed | Day Training, Developmentally Disabled Services | 19631 E Eastman Ave, Aurora, CO 80013-4301 | 2019-11-14 |
| 1275183493 | Best Day Services, LLC | Day Training, Developmentally Disabled Services | 4635 S Kalispell Way, Aurora, CO 80015-1418 | 2019-09-19 |
| 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.