Colorado Community Care, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

COLORADO COMMUNITY CARE, LLC

Practice address

5701 E Evans Ave Unit 100
Denver, CO 80222-5308

Phone

(505) 260-9917

NPI assigned

Aug 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Sivan Wilson, PSYD

Title

Ceo

Phone

(720) 504-3033

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnnie R Vigil, MD

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1285762377
  NPD

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1023842275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 E EVANS AVE UNIT 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 E EVANS AVE UNIT 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225308",
            "telephone_number": "505-260-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SIVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-504-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Methadone Clinic in Denver, CO
• Providers in Denver, CO by specialty
• Methadone Clinic in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.