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ROCKY MOUNTAIN INDEPENDENCE LLC NPI 1013462712


NPI Information

NPI: 1013462712
Provider Name: ROCKY MOUNTAIN INDEPENDENCE LLC
Classification: Contractor - 171W00000X
Entity Type: Organization

CLIA Number: 06D0687181

Address:
1630 MILLER ST
LAKEWOOD, CO
ZIP 80215
Phone: (303) 482-7100
Get Directions

ROCKY MOUNTAIN INDEPENDENCE LLC is a contractor in Lakewood, CO. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). ROCKY MOUNTAIN INDEPENDENCE LLC NPI is 1013462712. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1630 MILLER ST
LAKEWOOD, CO
ZIP 80215-709
Phone: (303) 482-7100

The provider's authorized official is Tara Goldsby .
The authorized official title is Co-owner / Director and has the following contact phone number (303) 482-7100.

The CLIA number assigned to this NPI record is 06D0687181 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/23/2016 and was last updated on 2/15/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171W00000XContractorYes
2376J00000XHomemakerNo
3385H00000XRespite CareNo

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
198254032MEDICAIDCOLORADO

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.