Developmental Opportunities
Organization Active NPI Case Management Agency · Canon City, CO
NPI 1013175264 · NPPES record last updated Oct 13, 2021
Key facts
- NPI
- 1013175264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- License
- 95138340 (CO)
- Legal business name
- DEVELOPMENTAL OPPORTUNITIES
- Practice address
- 700 S 8TH Street
Canon City, CO 81212-4904 - Phone
- (719) 275-1616
- Fax
- (719) 275-4619
- NPI assigned
- May 23, 2008
- Organization subpart
- No
Authorized official
- Name
- Bryana Jo Marsicano
- Title
- Ceo
- Phone
- (719) 269-2213
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Developmental Opportunities
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 95138340 | CO | Yes |
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
700 S 8TH Street
Canon City, CO 81212-4904
Mailing address
PO Box 2080
700 S 8TH Street
Canon City, CO 81215-2080
Phone (719) 275-1616
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09139601 | Medicaid | CO | |
| 11620561 | Medicaid | CO |
Other names
- Starpoint
Other providers in Canon City, CO
- Martina Delarosa
- Gillian F Deleon
- Louise Delgado
- Desert River Direct, PLLC
- Desert River Family Medicine, LLC
- Developmental Opportunities
- Developmental Opportunities
- Developmental Opportunities
- Developmental Opportunities
- Developmental Opportunities
All providers in Canon City, CO · Case Management Agency in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.