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 only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Envision Creative Support For People With Developmental Disabilities can be contacted via phone (970) 339-5360, or through Walton, Mary Lu via phone (970) 339-5360.

Contact Information

Primary practice address
1050 37Th St Evans CO 80620-2115
Fax: (970) 330-2261
Website:
Authorized official contact:
Name: Walton, Mary Lu

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1912394396
LBN Legal business name Envision Creative Support For People With Developmental Disabilities
DBA Doing business as
Authorized official Walton, Mary Lu
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2015
Last updated Apr 23rd, 2015 - about 10 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 1912394396 NPPES
Colorado MEDICAID 09139676
Colorado MEDICAID 50057367
Colorado MEDICAID 09145764

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