Provider Demographics
NPI:1275565749
Name:CITY OF AURORA
Entity Type:Organization
Organization Name:CITY OF AURORA
Other - Org Name:MORNING STAR ADULT DAY PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:303-326-8710
Mailing Address - Street 1:1016 BOSTON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6004
Mailing Address - Country:US
Mailing Address - Phone:303-361-0898
Mailing Address - Fax:303-340-8697
Practice Address - Street 1:1016 BOSTON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6004
Practice Address - Country:US
Practice Address - Phone:303-361-0898
Practice Address - Fax:303-340-8697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04138491Medicaid