Quality Life Service L.L.C.
LBN: 1Quality Life
Quality Life Service L.L.C. is an health care organization with primary practice located at 11975 Reed St Suite 1, Broomfield CO 80020-2814. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
1Quality Life can be contacted via phone (303) 439-2122, or through Van Blaricom, Eugene A. via phone (303) 439-2122.
Contact Information
Primary practice address
11975 Reed St Suite 1
Broomfield CO 80020-2814
Phone: (303) 439-2122
Fax: (303) 439-2622
Website:
Authorized official contact:
Name: Van Blaricom, Eugene A. BACHELOR OF SCIENCE
Phone: (303) 439-2122
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 32066 | Colorado |
Profile Details
| NPI number | 1699816488 |
|---|---|
| LBN Legal business name | 1Quality Life |
| DBA Doing business as | Quality Life Service L.L.C. |
| Authorized official | Van Blaricom, Eugene A. BACHELOR OF SCIENCE |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jun 13th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699816488 | NPPES |
| Colorado | MEDICAID | 0147588 |
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