Healthcare Provider Details

I. General information

NPI: 1619349263
Provider Name (Legal Business Name): AUTHENTIC ADULT DAY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2015
Last Update Date: 10/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16251 E COLFAX AVE
AURORA CO
80011-5951
US

IV. Provider business mailing address

16251 E COLFAX AVE
AURORA CO
80011-5951
US

V. Phone/Fax

Practice location:
  • Phone: 720-404-7502
  • Fax:
Mailing address:
  • Phone: 720-404-7502
  • 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: ABDIRASHID SAYID
Title or Position: PRESIDENT
Credential:
Phone: 720-404-7502