Provider Demographics
NPI:1659097616
Name:ABLE ADULT DAYCARE
Entity Type:Organization
Organization Name:ABLE ADULT DAYCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SADA
Authorized Official - Middle Name:OSMAN
Authorized Official - Last Name:SHAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-412-9214
Mailing Address - Street 1:17567 E DICKENSON PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-4181
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16251 E COLFAX AVE STE 101
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-5848
Practice Address - Country:US
Practice Address - Phone:720-412-9214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care