Organization · NPI-2

Abnezer LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Aurora, CO

NPI number1861023376
StatusActive
Last updated in NPPESJul 8, 2026

Details

NPI
1861023376
Entity type
Organization (NPI-2)
Legal business name
Abnezer LLC
Organization subpart
No
Enumeration date
Feb 3, 2020
Certification date
Jul 8, 2026
Last updated
Jul 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes
251C00000X Day Training, Developmentally Disabled Services––
376J00000X Homemaker––

Other names

  • Abnezer Adult Day Center (Doing Business As)

Practice location

30 S Havana St Ste 307308
Aurora, CO 80012-6430

Phone 303-668-1397

Mailing address

30 S Havana St Ste 307308
Aurora, CO 80012-6430

Phone 303-668-1397

Authorized official

Eyerusalem Mengesha
Director
3036681397

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