Organization Active NPI

Support Management

  • Developmentally Disabled Services Day Training Agency
  • Denver, CO
National Provider Identifier
1144530312
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SUPPORT MANAGEMENT
Practice address
11059 E Bethany Dr Ste 150
Denver, CO 80014-2637
Phone
(720) 748-0101
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Mr. Kevin M Graves
Title
President/Coo
Phone
(719) 641-3827

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Durable Medical Equipment & Medical Supplies 332B00000X
Respite Care 385H00000X

Addresses

Primary practice location

11059 E Bethany Dr Ste 150
Denver, CO 80014-2637

Mailing address

4575 Galley Rd Ste 100D
Colorado Springs, CO 80915-2747
Phone (720) 295-6234

National Provider Directory

National Provider Directory

Locations

11059 E Bethany Dr
Ste 150
Denver, CO 80014
Phone (720) 748-0101

9540 E Jewell Ave
Ste H
Denver, CO 80247

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1144530312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 GALLEY RD STE 100D",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152747",
            "telephone_number": "720-295-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11059 E BETHANY DR STE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "800142637",
            "telephone_number": "720-748-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "719-641-3827",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.