Provider Demographics
NPI:1396541033
Name:ASSURANCE ASSISTED LIVING HOME AT KILLARNEY
Entity type:Organization
Organization Name:ASSURANCE ASSISTED LIVING HOME AT KILLARNEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:GORMAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLLEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-420-9049
Mailing Address - Street 1:3025 S PARKER RD STE 130
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2925
Mailing Address - Country:US
Mailing Address - Phone:720-420-9049
Mailing Address - Fax:
Practice Address - Street 1:2895 S KILLARNEY WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-9901
Practice Address - Country:US
Practice Address - Phone:720-524-7192
Practice Address - Fax:303-474-3099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility