NPIMap

Organization Active NPI

Upson Hall LLC

Doing business as Denver Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Broomfield, CO
National Provider Identifier
1063177640
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
UPSON HALL LLC
Doing business as
Denver Recovery Center
Practice address
295 Interlocken Blvd Ste 400
Broomfield, CO 80021-8105
Phone
(657) 304-0103
NPI assigned
Nov 8, 2021
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Gilbert Yates
Title
Contract Manager
Phone
(877) 262-7803

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary
Psychiatric Hospital 283Q00000X NU

Addresses

Primary practice location

295 Interlocken Blvd Ste 400
Broomfield, CO 80021-8105

Mailing address

295 Interlocken Blvd Ste 400
Broomfield, CO 80021-8105

Other names 1

  • Denver Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Upson Hall LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1063177640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 INTERLOCKEN BLVD STE 400",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 INTERLOCKEN BLVD STE 400",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218105",
            "telephone_number": "657-304-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSON HALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "877-262-7803"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Denver Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.