Provider Demographics
| NPI: | 1952980609 |
|---|---|
| Name: | NAPA CENTER DENVER, LLC |
| Entity type: | Organization |
| Organization Name: | NAPA CENTER DENVER, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | LYNETTE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | LASCALA |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 424-269-3400 |
| Mailing Address - Street 1: | 11840 S LA CIENEGA BLVD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HAWTHORNE |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 90250-3459 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 213-245-4431 |
| Mailing Address - Fax: | 310-882-5451 |
| Practice Address - Street 1: | 6331 S HIMALAYA CT |
| Practice Address - Street 2: | |
| Practice Address - City: | CENTENNIAL |
| Practice Address - State: | CO |
| Practice Address - Zip Code: | 80016-3950 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 424-269-3400 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-04-07 |
| Last Update Date: | 2021-04-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QR0400X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation | Group - Multi-Specialty |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology | Group - Multi-Specialty |
| No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Multi-Specialty |
| No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | Group - Multi-Specialty |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 225XN1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Neurorehabilitation | Group - Multi-Specialty |
| No | 225XP0019X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Physical Rehabilitation | Group - Multi-Specialty |
| No | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |