Healthcare Provider Details

I. General information

NPI: 1992637102
Provider Name (Legal Business Name): MA ADULT DAYCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 S CHAMBERS RD
AURORA CO
80017-5058
US

IV. Provider business mailing address

1680 S CHAMBERS RD
AURORA CO
80017-5058
US

V. Phone/Fax

Practice location:
  • Phone: 303-875-4664
  • Fax:
Mailing address:
  • Phone:
  • 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: MAGDI A ABDALLA MOHAMED
Title or Position: OWNER/ MANAGER
Credential:
Phone: 303-875-4664