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RED MOUNTAIN COLORADO LLC NPI 1710526504


NPI Information

NPI: 1710526504
Provider Name: RED MOUNTAIN COLORADO, LLC
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

CLIA Number: 06D2155578

Address:
5401 W 9TH ST
GREELEY, CO
ZIP 80634
Phone: (970) 631-6364
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RED MOUNTAIN COLORADO, LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Greeley, CO. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. RED MOUNTAIN COLORADO, LLC NPI is 1710526504. The provider is registered as an organization entity type.

The provider's business location address is:

5401 W 9TH ST
GREELEY, CO
ZIP 80634-431
Phone: (970) 631-6364
Fax: (970) 978-4951

The provider's authorized official is Janea Baker .
The authorized official title is Business Office Manager and has the following contact phone number (970) 515-6400.

The CLIA number assigned to this NPI record is 06D2155578 - other - residential treatment ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2019 and was last updated on 12/27/2019.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
23245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

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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