Healthcare Provider Details
I. General information
NPI: 1821900606
Provider Name (Legal Business Name): ARY STAR LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1978 S GARRISON ST STE 1
LAKEWOOD CO
80227-2243
US
IV. Provider business mailing address
5155 W CUSTER PL
DENVER CO
80219-2297
US
V. Phone/Fax
- Phone: 720-877-7452
- Fax:
- Phone: 720-877-7452
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ISABEL
GUTIERREZ
Title or Position: OWNER
Credential:
Phone: 720-877-7452