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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ODORTUA SIMANUNGKALIT
NPI 1942113832
Custodial Care Facility - Adult Care Home in Centennial, CO

Active since September 23, 2026
5683 S QUEMOY CT, CENTENNIAL, CO 80015(720) 903-6141 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Odortua Simanungkalit NPPES

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

ODORTUA SIMANUNGKALIT (NPI 1942113832) is an individual adult care home provider in Centennial, Colorado and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1942113832
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameODORTUA SIMANUNGKALIT
Location Address5683 S QUEMOY CTCentennial, CO 80015-6001
Mailing Address5683 S Quemoy CtCentennial, CO 80015-6001
Phone(720) 903-6141
Sole ProprietorYes
Enumeration DateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1942113832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
5683 S QUEMOY CT, Centennial, CO 80015
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Other Names 1

Other Name (5)Kusuma Asmadi

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 Odortua Simanungkalit's NPI number?

The NPI number for Odortua Simanungkalit is 1942113832. It was assigned to this individual provider in the NPPES registry on September 23, 2026. The provider is also known as Kusuma Asmadi.

Where is Odortua Simanungkalit located?

Odortua Simanungkalit practices at 5683 S Quemoy Ct, Centennial, CO 80015. The listed phone number is (720) 903-6141.

What is Odortua Simanungkalit's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Odortua Simanungkalit was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.