INTERMOUNTAIN COMMUNITY SUPPORT AND SERVICES LLC NPI 1992078216

NPI Information

  • NPI: 1992078216
  • Provider Name: INTERMOUNTAIN COMMUNITY SUPPORT AND SERVICES, LLC
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Doing Business As: ICSS
  • CLIA Number: 06D2291357
  • Address: 12818 NEWPORT WAY
    THORNTON, CO
    ZIP 80602
  • Phone: (303) 885-3299

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NPI Details

INTERMOUNTAIN COMMUNITY SUPPORT AND SERVICES, LLC is a day training developmentally disabled services in Thornton, 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. INTERMOUNTAIN COMMUNITY SUPPORT AND SERVICES, LLC NPI is 1992078216. The provider is registered as an organization entity type.
The provider Is Doing Business As Icss.

The provider's business location address is:

12818 NEWPORT WAY
THORNTON, CO
ZIP 80602-955
Phone: (303) 885-3299
Fax: (720) 242-9089

The provider's authorized official is Jeremy Robert Lang .
The authorized official title is Co-owner and has the following contact phone number (303) 885-3299.

The CLIA number assigned to this NPI record is 06D2291357 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/16/2012 and was last updated on 2/16/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesCOLORADOYes

What is NPI?

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This page was last updated on: 11/21/2025

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