NPIMap

Organization Active NPI

The Mountain Star Center

  • Mental Illness Community Based Residential Treatment Facility
  • Denver, CO
National Provider Identifier
1013040385
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
13363 Issued in CO
Legal business name
THE MOUNTAIN STAR CENTER
Practice address
3520 W Oxford Ave
Denver, CO 80236-3108
Phone
(303) 866-7080
Fax
(303) 866-7088
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kat Foo
Title
Hipaa Officer
Phone
(303) 866-5871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 13363 CO Primary

Addresses

Primary practice location

3520 W Oxford Ave
Denver, CO 80236-3108

Mailing address

1600 W 24TH St
Pueblo, CO 81003-1411
Phone (719) 546-4000

Other identifiers 1

IdentifierTypeStateIssuer
18751067MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Colorado State Veterans Nursing Home102 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013040385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 24TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810031411",
            "telephone_number": "719-546-4000",
            "fax_number": "719-546-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 W OXFORD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802363108",
            "telephone_number": "303-866-7080",
            "fax_number": "303-866-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOUNTAIN STAR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOO",
        "authorized_official_first_name": "KAT",
        "authorized_official_title_or_position": "HIPAA OFFICER",
        "authorized_official_telephone_number": "303-866-5871",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CO",
            "license": "13363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18751067",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.