NPIMap

Organization Active NPI

Grand Junction Regional Center

  • Developmentally Disabled Services Day Training Agency
  • Grand Junction, CO
National Provider Identifier
1104959477
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
0146 Issued in CO
Legal business name
GRAND JUNCTION REGIONAL CENTER
Practice address
2800 Riverside Pkwy
Grand Junction, CO 81501-4721
Phone
(970) 245-2100
Fax
(970) 255-5714
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Mrs. Jennifer A Brown, RN
Title
Director
Phone
(970) 255-5703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 0146 CO Primary

Addresses

Primary practice location

2800 Riverside Pkwy
Grand Junction, CO 81501-4721

Mailing address

3199 D Rd BLDG a
Grand Junction, CO 81504-6185
Phone (970) 245-2100

Other identifiers 1

IdentifierTypeStateIssuer
05653993MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Colorado State Veterans Nursing Home102 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1104959477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 D RD BLDG A",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815046185",
            "telephone_number": "970-245-2100",
            "fax_number": "970-255-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 RIVERSIDE PKWY",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815014721",
            "telephone_number": "970-245-2100",
            "fax_number": "970-255-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND JUNCTION REGIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-255-5703",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CO",
            "license": "0146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05653993",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.