Individual provider Active NPI

Mobel Fadeyi

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Brighton, CO
National Provider Identifier
1093379083
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Practice address
318 Mt Wilson St
Brighton, CO 80601-6530
Phone
(720) 298-9114
NPI assigned
Apr 25, 2019
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

318 Mt Wilson St
Brighton, CO 80601-6530

Mailing address

318 Mt Wilson St
Brighton, CO 80601-6530
Phone (720) 298-9114

Other names 1

  • Alpha Host Home Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1093379083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 MT WILSON ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806016530",
            "telephone_number": "720-298-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MT WILSON ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806016530",
            "telephone_number": "720-298-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADEYI",
        "first_name": "MOBEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALPHA",
            "last_name": "HOME",
            "middle_name": "HOST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.