Imagine

LBN: Developmental Disabilities Center
Imagine is an health care organization with primary practice located at 1400 Dixon Ave , Lafayette CO 80026-2790. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Day Training, Developmentally Disabled Services, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Developmental Disabilities Center can be contacted via phone (303) 665-7789, or through Grey, Robin via phone (303) 641-6342.

Contact Information

Primary practice address
1400 Dixon Ave Lafayette CO 80026-2790
Phone: (303) 665-7789
Fax: (303) 665-2648
Website:
Map and Directions
Authorized official contact:
Name: Grey, Robin
Phone: (303) 641-6342

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1508086794
LBN Legal business name Developmental Disabilities Center
DBA Doing business as Imagine
Authorized official Grey, Robin
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2007
Last updated Mar 7th, 2024 - about 8 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508086794 NPPES
Colorado MEDICAID 30870216

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