Envision-Creative Support For People With Developmental Disabilities

LBN: Envision-Creative Support For People With Developmental Disabilities
Envision-Creative Support For People With Developmental Disabilities is an health care organization with primary practice located at 1050 37Th St , Evans CO 80620-2115. The organization recently has 4 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Envision-Creative Support For People With Developmental Disabilities can be contacted via phone (970) 339-5360, or through Walton, Marylu via phone (970) 339-5360.

Contact Information

Primary practice address
1050 37Th St Evans CO 80620-2115
Phone: (970) 339-5360
Fax: (970) 330-2261
Website:
Map and Directions
Authorized official contact:
Name: Walton, Marylu
Phone: (970) 339-5360

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Nursing Service Related Providers / Homemaker 376J00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1437275690
LBN Legal business name Envision-Creative Support For People With Developmental Disabilities
DBA Doing business as
Authorized official Walton, Marylu
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Nov 21st, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437275690 NPPES
Colorado MEDICAID 131920
Colorado MEDICAID 09139676

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