ROBERT RUSSELL EASTERN STAR MASONIC CENTER
NPI 1063887990
Assisted Living Facility in Denver, CO
About Robert Russell Eastern Star Masonic Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT RUSSELL EASTERN STAR MASONIC CENTER (NPI 1063887990) is a healthcare organization registered as an assisted living facility in Denver, Colorado and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Larry Lillo, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 06D2231220
Robert Russell Eastern Star Masonic Retirement · Denver, COOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DENVER, CO 80231
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Robert Russell Eastern Star Masonic Center's NPI number?
The NPI number for Robert Russell Eastern Star Masonic Center is 1063887990. It was assigned to this organization in the NPPES registry on December 3, 2015.
Where is Robert Russell Eastern Star Masonic Center located?
Robert Russell Eastern Star Masonic Center is located at 2445 S Quebec St, Denver, CO 80231. The listed phone number is (303) 756-9489.
What is Robert Russell Eastern Star Masonic Center's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Robert Russell Eastern Star Masonic Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2231220) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Robert Russell Eastern Star Masonic Center was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
