MEDICARE: OHANA RESIDENTIAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1508743972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHANA RESIDENTIAL LLC

Provider Business Mailing Address
First Line	:	22282 E BELLEWOOD PL
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80015-4723
Country	:	US
Telephone Number	:	720-614-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	22282 E BELLEWOOD PL
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80015-4723
Country	:	US
Telephone Number	:	720-614-2424
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF RESIDENTIAL
Name	:	BLOSSOM YOUNG
Credential	:
Telephone Number	:	720-499-9610

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	08/18/2025

Similar Medicare Providers

1851174767 — ALTERNATIVE RESIDENTIAL SERVICES, LLC
Practice Location Address:

22282 E BELLEWOOD PL
AURORA, CO
80015-4723

Practice Phone: 720-499-9610
Practice Fax:

1730980715 — ANGELA VALADEZ RN
Practice Location Address:

1317 MARSEILLAISE PL
AURORA, IL
60506-4723

Practice Phone: 630-844-6896
Practice Fax:

1336008705 — THE ANGEL LLC
Practice Location Address:

18869 E WHITAKER CIR
AURORA, CO
80015-3278

Practice Phone: 720-288-6175
Practice Fax:

1649129826 — ANTHONY SGORRANO
Practice Location Address:

20971 E SMOKY HILL RD STE 102
AURORA, CO
80015-5187

Practice Phone: 720-961-8539
Practice Fax:

1669321873 — CODY JAMES TONE
Practice Location Address:

20971 E SMOKY HILL RD STE 102
AURORA, CO
80015-5187

Practice Phone: 720-961-8539
Practice Fax:

1134078082 — CASEY BROWNE
Practice Location Address:

20971 E SMOKY HILL RD STE 204
AURORA, CO
80015-5187

Practice Phone: 720-530-1192
Practice Fax:

Directions to “OHANA RESIDENTIAL LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.