COMMUNITY ADVANTAGE INC. NPI 1336354810

NPI Information

NPI: 1336354810
Provider Name: COMMUNITY ADVANTAGE, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2612 52ND AVENUE CT
GREELEY, CO
ZIP 80634
Phone: (970) 330-4909
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COMMUNITY ADVANTAGE, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Greeley, 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 ADVANTAGE, INC. NPI is 1336354810. The provider is registered as an organization entity type.

The provider's business location address is:

2612 52ND AVENUE CT
GREELEY, CO
ZIP 80634-001
Phone: (970) 330-4909

The provider's authorized official is Mary A Pank .
The authorized official title is Paralegal and has the following contact phone number (502) 420-2666.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 11/3/2016.

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	343900000X	Non-emergency Medical Transport (VAN)			COLORADO	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities			COLORADO	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	09146671	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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