NPIMap

Organization Active NPI

Rocky Mountain Independence LLC

  • Contractor
  • Lakewood, CO
National Provider Identifier
1013462712
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
ROCKY MOUNTAIN INDEPENDENCE LLC
Practice address
1630 Miller St
Lakewood, CO 80215-2709
Phone
(303) 482-7100
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Tara Goldsby
Title
Co-Owner / Director
Phone
(303) 482-7100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Respite Care 385H00000X

Addresses

Primary practice location

1630 Miller St
Lakewood, CO 80215-2709

Mailing address

1630 Miller St
Lakewood, CO 80215-2709
Phone (303) 482-7100

Other identifiers 1

IdentifierTypeStateIssuer
98254032MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1013462712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MILLER ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802152709",
            "telephone_number": "303-482-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MILLER ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802152709",
            "telephone_number": "303-482-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN INDEPENDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "GOLDSBY",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CO-OWNER / DIRECTOR",
        "authorized_official_telephone_number": "303-482-7100"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98254032",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.