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INN BETWEEN NPI 1174765366


NPI Information

NPI: 1174765366
Provider Name: INN BETWEEN

Other Name: JEFFERSON CENTER FOR MENTAL HEALTH

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
10295 W KEENE AVE
LAKEWOOD, CO
ZIP 80235
Phone: (303) 980-4082
Get Directions

INN BETWEEN is an assisted living facility in Lakewood, CO. The provider is 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. INN BETWEEN NPI is 1174765366. The provider is registered as an organization entity type.
The provider Other Name Is Jefferson Center For Mental Health.

The provider's business location address is:

10295 W KEENE AVE
LAKEWOOD, CO
ZIP 80235-104
Phone: (303) 980-4082
Fax: (303) 980-4084

The provider's authorized official is David A Goff .
The authorized official title is Chief Financial Officer and has the following contact phone number (303) 432-5164.

The enumeration date for this NPI number is 4/2/2009 and was last updated on 12/18/2020.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder150413COLORADONo
2310400000XAssisted Living FacilityYes

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
145175233MEDICAIDCOLORADO
29000175762MEDICAIDCOLORADO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.