Organization Active NPI

KMB Endeavors, Inc

Doing business as KMB Elevation HCBS Program

  • Behavior Analyst
  • Aurora, CO
National Provider Identifier
1174198774
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KMB ENDEAVORS, INC
Doing business as
KMB Elevation HCBS Program
Practice address
13721 E Rice PL Ste 104
Aurora, CO 80015-1062
Phone
(303) 493-1483
NPI assigned
May 25, 2021
Last updated
Jan 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Dr. Keelee K. Burtch
Title
Director
Phone
(303) 493-1483

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X
Behavior Analyst 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

13721 E Rice PL Ste 104
Aurora, CO 80015-1062

Mailing address

13721 E Rice PL Ste 104
Aurora, CO 80015-1062
Phone (303) 493-1483

Other names 1

  • KMB Elevation HCBS Program Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@elevationcolo.com Direct

National Provider Directory

National Provider Directory
Tax ID family
KMB Endeavors Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

13721 E Rice Pl
Ste 104
Aurora, CO 80015
Phone (303) 493-1483

Interoperability endpoints

  • Direct secure messaging: info@elevationcolo.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1174198774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13721 E RICE PL STE 104",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151062",
            "telephone_number": "303-493-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13721 E RICE PL STE 104",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151062",
            "telephone_number": "303-493-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMB ENDEAVORS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "BURTCH",
        "authorized_official_first_name": "KEELEE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-493-1483",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@elevationcolo.com",
            "affiliation": "N",
            "endpointDescription": "INfo",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13721 E Rice Pl",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800151062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KMB Elevation HCBS Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KMB Elevation HCBS Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.