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YOUTHTRACK NPI 1821274002


NPI Information

NPI: 1821274002
Provider Name: YOUTHTRACK

Other Name: CAI WELD HOST

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
10184 W BELLEVIEW AVE
SUITE 300
LITTLETON, CO
ZIP 80127
Phone: (303) 904-0998
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YOUTHTRACK 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. YOUTHTRACK NPI is 1821274002. The provider is registered as an organization entity type.
The provider Other Name Is Cai Weld Host.

The provider's business location address is:

10184 W BELLEVIEW AVE
SUITE 300
LITTLETON, CO
ZIP 80127-700
Phone: (303) 904-0998

The provider's authorized official is Deena Ombres .
The authorized official title is Privacy Officer and has the following contact phone number (502) 394-2387.

The enumeration date for this NPI number is 1/17/2008 and was last updated on 8/18/2008.


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
1343900000XNon-emergency Medical Transport (VAN)COLORADONo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesCOLORADOYes

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
108652332MEDICAIDCOLORADO

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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