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Envision Creative Support for People With Developmental Disabilities

Organization Active NPI Case Management Agency · Evans, CO

NPI 1013548866 · NPPES record last updated Apr 8, 2020

Key facts

NPI
1013548866
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
ENVISION CREATIVE SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES
Practice address
1050 37TH Street
Evans, CO 80620-0069
Phone
(970) 339-5360
Fax
(970) 330-2261
NPI assigned
Jan 30, 2020
Organization subpart
No

Authorized official

Name
Ms. Lori Jean Fleming
Title
Billing Tech
Phone
(970) 313-2628

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Envision Creative Support for People With Developmental Disabilities (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes
Respite Care 385H00000X

Addresses

Primary practice location

1050 37TH Street
Evans, CO 80620-0069

Mailing address

PO Box 200069
Evans, CO 80620-0069
Phone (970) 339-5360

Other providers in Evans, CO

All providers in Evans, CO · Case Management Agency in Colorado

Sources for this page

Verify at the official NPI Registry.