ELDERHAUS ADULT DAY PROGRAM INC NPI 1073997417

NPI Information

NPI: 1073997417
Provider Name: ELDERHAUS ADULT DAY PROGRAM, INC
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
6813 S COLLEGE AVE
FORT COLLINS, CO
ZIP 80525
Phone: (970) 221-0406
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ELDERHAUS ADULT DAY PROGRAM, INC is a respite care in Fort Collins, CO. ELDERHAUS ADULT DAY PROGRAM, INC NPI is 1073997417. The provider is registered as an organization entity type.

The provider's business location address is:

6813 S COLLEGE AVE
FORT COLLINS, CO
ZIP 80525-144
Phone: (970) 221-0406

The provider's authorized official is Joanne R Vande Walle .
The authorized official title is Executive Director and has the following contact phone number (970) 221-0406.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 2/1/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		No
2	261QA0600X	Clinic/Center	Adult Day Care	No
3	385H00000X	Respite Care		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	61522562	MEDICAID	COLORADO
2	04000790	MEDICAID	COLORADO

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: 4/28/2024

NPI Synchronization or Removal

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