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COMMUNITY ADVANTAGE INC. NPI 1396952933


NPI Information

NPI: 1396952933
Provider Name: COMMUNITY ADVANTAGE, INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
1375 KEN PRATT BLVD
LONGMONT, CO
ZIP 80501
Phone: (303) 684-9833
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COMMUNITY ADVANTAGE, INC. is a day training developmentally disabled services in Longmont, CO. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. COMMUNITY ADVANTAGE, INC. NPI is 1396952933. The provider is registered as an organization entity type.

The provider's business location address is:

1375 KEN PRATT BLVD
LONGMONT, CO
ZIP 80501-325
Phone: (303) 684-9833

The provider's authorized official is Timothy Whobrey .
The authorized official title is Provider Enrollment and has the following contact phone number (502) 630-7249.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 10/14/2020.


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
1251S00000XCommunity/Behavioral HealthNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3376J00000XHomemakerNo
4385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
5251C00000XDay Training, Developmentally Disabled ServicesYes

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
109146234MEDICAIDCOLORADO

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

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