Organization Active NPI

People Centered Services

  • Developmentally Disabled Services Day Training Agency
  • Longmont, CO
National Provider Identifier
1154628964
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
CU00010507 Issued in NM
Legal business name
PEOPLE CENTERED SERVICES
Practice address
2919 17TH Ave Ste 110
Longmont, CO 80503-1657
Phone
(303) 651-6769
NPI assigned
Feb 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Mr. Manish Gaur, MA
Title
Executive Director
Phone
(303) 651-6769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X CU00010507 NM Primary

Addresses

Primary practice location

2919 17TH Ave Ste 110
Longmont, CO 80503-1657

Mailing address

2919 17TH Ave Ste 110
Longmont, CO 80503-1657
Phone (303) 651-6769

Other identifiers 1

IdentifierTypeStateIssuer
42907870MedicaidNM

National Provider Directory

National Provider Directory

Locations

509 Camino de los Marquez
Ste 4
Santa Fe, NM 87505

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1154628964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 17TH AVE STE 110",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805031657",
            "telephone_number": "303-651-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 17TH AVE STE 110",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805031657",
            "telephone_number": "303-651-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE CENTERED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "GAUR",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-651-6769",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NM",
            "license": "CU00010507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42907870",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

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