Provider Demographics
NPI:1093355513
Name:NORA PERSONAL CARE ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:NORA PERSONAL CARE ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-209-5625
Mailing Address - Street 1:PO BOX 461352
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80046-1352
Mailing Address - Country:US
Mailing Address - Phone:720-209-5625
Mailing Address - Fax:303-690-4549
Practice Address - Street 1:17419 E FLORA PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-2226
Practice Address - Country:US
Practice Address - Phone:303-617-8131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility