Provider Demographics
NPI:1932863602
Name:EVEREST ADULT DAY CARE LLC
Entity Type:Organization
Organization Name:EVEREST ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SOM
Authorized Official - Middle Name:
Authorized Official - Last Name:BARAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-612-7854
Mailing Address - Street 1:12201 E MISSISSIPPI AVE UNIT 101
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3468
Mailing Address - Country:US
Mailing Address - Phone:720-612-7854
Mailing Address - Fax:720-612-7857
Practice Address - Street 1:12201 E MISSISSIPPI AVE UNIT 101
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3468
Practice Address - Country:US
Practice Address - Phone:720-612-7854
Practice Address - Fax:720-612-7857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care