Healthcare Provider Details

I. General information

NPI: 1174450761
Provider Name (Legal Business Name): ACTUAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14901 E HAMPDEN AVE STE 220B
AURORA CO
80014-5065
US

IV. Provider business mailing address

14901 E HAMPDEN AVE STE 220B
AURORA CO
80014-5065
US

V. Phone/Fax

Practice location:
  • Phone: 720-579-3518
  • Fax: 720-247-9127
Mailing address:
  • Phone: 720-579-3518
  • Fax: 720-247-9127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: TOYRENA SAWBO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: CEO
Phone: 720-579-3518