COMMUNITY ROOTS LLC NPI 1245994961

NPI Information

NPI: 1245994961
Provider Name: COMMUNITY ROOTS, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 06D0510935

Address:
215 REMUDA LN
LAFAYETTE, CO
ZIP 80026
Phone: (303) 746-8862
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COMMUNITY ROOTS, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Lafayette, CO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. COMMUNITY ROOTS, LLC NPI is 1245994961. The provider is registered as an organization entity type.

The provider's business location address is:

215 REMUDA LN
LAFAYETTE, CO
ZIP 80026-006
Phone: (303) 746-8862

The provider's authorized official is Alicia Nicole Burdick .
The authorized official title is Owner and has the following contact phone number (303) 746-8862.

The CLIA number assigned to this NPI record is 06D0510935 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/28/2021 and was last updated on 10/28/2021.

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	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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: 5/5/2024

NPI Synchronization or Removal

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