Healthcare Provider Details

I. General information

NPI: 1528539012
Provider Name (Legal Business Name): KASKO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2018
Last Update Date: 12/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 S BROADWAY
LITTLETON CO
80122-8006
US

IV. Provider business mailing address

7120 S BROADWAY
LITTLETON CO
80122-8006
US

V. Phone/Fax

Practice location:
  • Phone: 720-900-3951
  • Fax:
Mailing address:
  • Phone: 720-900-3951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: IREN KASPIN
Title or Position: OWNER ADMINISTRATOR
Credential: RN
Phone: 720-383-8083