Provider Demographics
NPI:1417572215
Name:AVIV DENVER LLC
Entity Type:Organization
Organization Name:AVIV DENVER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIAUQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-201-7297
Mailing Address - Street 1:PO BOX 40186
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81504-0186
Mailing Address - Country:US
Mailing Address - Phone:970-241-8818
Mailing Address - Fax:970-241-0760
Practice Address - Street 1:7061 S UNIVERSITY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-1536
Practice Address - Country:US
Practice Address - Phone:303-722-3242
Practice Address - Fax:303-722-3255
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AVIV ENTERPRISES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care