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DENVER SOURCE LLC NPI 1548789332


NPI Information

NPI: 1548789332
Provider Name: DENVER SOURCE, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1525 W PARKHILL AVE
LITTLETON, CO
ZIP 80120
Phone: (720) 291-7230
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DENVER SOURCE, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Littleton, 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. DENVER SOURCE, LLC NPI is 1548789332. The provider is registered as an organization entity type.

The provider's business location address is:

1525 W PARKHILL AVE
LITTLETON, CO
ZIP 80120-614
Phone: (720) 291-7230

The provider's authorized official is John Pierce Dickey .
The authorized official title is Director/ceo and has the following contact phone number (720) 597-0366.

The enumeration date for this NPI number is 9/13/2017 and was last updated on 7/21/2022.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2251B00000XCase ManagementNo
3320700000XResidential Treatment Facility, Physical DisabilitiesNo
4251C00000XDay Training, Developmentally Disabled ServicesNo
5322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
6347C00000XPrivate VehicleNo
7320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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.