Healthcare Provider Details

I. General information

NPI: 1457976672
Provider Name (Legal Business Name): AURORA ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2020
Last Update Date: 08/17/2020
Certification Date: 08/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 S POTOMAC ST STE 118
AURORA CO
80012-4527
US

IV. Provider business mailing address

1330 S POTOMAC ST STE 118
AURORA CO
80012-4527
US

V. Phone/Fax

Practice location:
  • Phone: 729-999-3046
  • Fax:
Mailing address:
  • Phone: 729-999-3046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HARI M TIMSINA
Title or Position: OWNER
Credential:
Phone: 720-999-3046