Healthcare Provider Details

I. General information

NPI: 1093682304
Provider Name (Legal Business Name): NADINA ADULT DAYCARE CENTER - ORCHARD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15352 E IDA DR UNIT EF
CENTENNIAL CO
80015-4286
US

IV. Provider business mailing address

1199 S XENIA ST UNIT B
DENVER CO
80247-2205
US

V. Phone/Fax

Practice location:
  • Phone: 408-332-6400
  • Fax: 720-923-5157
Mailing address:
  • Phone: 408-332-6400
  • Fax: 720-923-5157

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: MONA ALEMU FISAHA
Title or Position: CO-OWNER/DIRECTING MANAGER
Credential:
Phone: 408-332-6400