Provider Demographics
NPI:1942852991
Name:ARSEMA INC
Entity Type:Organization
Organization Name:ARSEMA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDU
Authorized Official - Middle Name:
Authorized Official - Last Name:WORKNEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-577-3202
Mailing Address - Street 1:1450 S HAVANA ST STE 330
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4021
Mailing Address - Country:US
Mailing Address - Phone:702-771-1589
Mailing Address - Fax:720-532-0249
Practice Address - Street 1:1450 S HAVANA ST STE 330
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4021
Practice Address - Country:US
Practice Address - Phone:702-771-1589
Practice Address - Fax:720-532-0249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06641961Medicaid