Brads House Monument

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

BRADS HOUSE MONUMENT

Doing business as

Brad's House

Practice address

2810 Hunters Glen Rd
Monument, CO 80132-9704

Phone

(719) 639-3776

NPI assigned

Oct 14, 2021

Last updated

Aug 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrick Haggard

Title

Billing Manager

Phone

(719) 204-4548

Specialties & licenses 2

Addresses

Other names 1

• Brad's House Doing business as

Tax ID family

Brad's House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Brads House Monument

  • Mental Health Counselor
  • Monument, CO
  • NPI 1720821259
  NPD tax ID

Locations

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1053074351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14960 WOODCARVER RD # 106",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212370",
            "telephone_number": "719-639-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 HUNTERS GLEN RD",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329704",
            "telephone_number": "719-639-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADS HOUSE MONUMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "HAGGARD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "719-204-4548"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brad's House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Elizabeth Boone, LMT
• Tamela Jean Boulter, RN, NNP-BC
• Alexi Bowles
• Laurel Boyer, LPC
• Brad Burtwistle DDS, PC (Monument Family Dentistry)
• Brads House Monument
• Emily Bready, MA, LPC, LAC
• Eric A Brewner, MD
• Hannah Patrice Brigger, PT, DPT
• Norma Brough

• Emotionally Disturbed Childrens' Residential Treatment Facility in Monument, CO
• Providers in Monument, CO by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.