Healthcare Provider Details

I. General information

NPI: 1770416661
Provider Name (Legal Business Name): COLORADO ADULT DAYCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15035 E MISSISSIPPI AVE
AURORA CO
80012-3729
US

IV. Provider business mailing address

15035 E MISSISSIPPI AVE
AURORA CO
80012-3729
US

V. Phone/Fax

Practice location:
  • Phone: 303-200-0968
  • Fax: 720-302-0055
Mailing address:
  • Phone: 303-200-0968
  • Fax: 720-302-0055

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: GEVORK NAZARYAN
Title or Position: OWNER
Credential:
Phone: 424-750-6464