NORTHGLENN HEIGHTS
NPI 1538289558
Assisted Living Facility in Northglenn, CO

Active since March 31, 2007CLIA 06D2328006 · Waiver
11475 PEARL ST, NORTHGLENN, CO 80233(303) 452-0501 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northglenn Heights NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHGLENN HEIGHTS (NPI 1538289558) is a healthcare organization registered as an assisted living facility in Northglenn, Colorado and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Jon M Harder, Manager, as its authorized official.

NPPES Registry Identity

NPI1538289558
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNORTHGLENN ASSISTED LIVING
Location Address11475 PEARL STNorthglenn, CO 80233-1942
Mailing Address3723 Fairview Industrial Dr Se Ste 270Salem, OR 97302-4975 · (503) 485-4600
Organization SubpartNo
Authorized OfficialJon M HarderManager · (503) 485-4600
Enumeration DateMarch 31, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1538289558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in CO · AL-0220
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

11475 PEARL ST, Northglenn, CO 80233

Other Names 1

Doing Business AsNorthglenn Heights

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 06D2328006

Northglenn Heights Assisted Living And Memory Care · Northglenn, CO
Active · expires Aug 3, 2027
CLIA Number06D2328006
Laboratory TypeN/A
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorClaudia Hart
Laboratory Phone(303) 452-0501
Laboratory LocationNorthglenn Heights Assisted Living And Memory Care11475 Pearl St, Northglenn, CO 80233
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
11475 PEARL ST
NORTHGLENN, CO 80233
Assisted Living Facility
11475 PEARL ST
NORTHGLENN, CO 80233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538289558, enumerated as an "organization" on March 31, 2007.

The provider is located at 11475 PEARL ST NORTHGLENN, CO 80233 and the phone number is (303) 452-0501.

Assisted Living Facility with taxonomy code 310400000X.