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LUIS ALVAREZ LLC NPI 1043524267


NPI Information

NPI: 1043524267
Provider Name: LUIS ALVAREZ LLC

Doing Business As: WESTERN MOUNTAIN YOUTH SERVICES

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
922 2ND AVE
MONTE VISTA, CO
ZIP 81144
Phone: (719) 852-9697
Get Directions

LUIS ALVAREZ LLC is a community based residential treatment facility mental illness in Monte Vista, CO. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. LUIS ALVAREZ LLC NPI is 1043524267. The provider is registered as an organization entity type.
The provider Is Doing Business As Western Mountain Youth Services.

The provider's business location address is:

922 2ND AVE
MONTE VISTA, CO
ZIP 81144-443
Phone: (719) 852-9697

The provider's authorized official is Luis Antonio Alvarez .
The authorized official title is Director and has the following contact phone number (719) 852-9697.

The enumeration date for this NPI number is 7/29/2010 and was last updated on 7/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness1593695COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
156481322MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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