Provider Demographics
NPI:1790442226
Name:MEADOW VISTA ASSISTED LIVING, LLC - WALDEN
Entity Type:Organization
Organization Name:MEADOW VISTA ASSISTED LIVING, LLC - WALDEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARYAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-320-7719
Mailing Address - Street 1:8741 HUNTERS HILL LN
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-9123
Mailing Address - Country:US
Mailing Address - Phone:720-320-7719
Mailing Address - Fax:
Practice Address - Street 1:7243 W WALDEN DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-5426
Practice Address - Country:US
Practice Address - Phone:720-320-7719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility