Provider Type Icon

COMMON ROOTS LLC NPI 1437632940


NPI Information

NPI: 1437632940
Provider Name: COMMON ROOTS LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
805 S TEJON ST
COLORADO SPRINGS, CO
ZIP 80903
Phone: (719) 659-5271
Get Directions

COMMON ROOTS LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Colorado Springs, 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. COMMON ROOTS LLC NPI is 1437632940. The provider is registered as an organization entity type.

The provider's business location address is:

805 S TEJON ST
COLORADO SPRINGS, CO
ZIP 80903-148
Phone: (719) 659-5271

The provider's authorized official is Tracy L Brown .
The authorized official title is Co -owner and has the following contact phone number (719) 659-5271.

The enumeration date for this NPI number is 9/11/2018 and was last updated on 1/7/2020.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes
2385H00000XRespite CareNo

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

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.