Active NPI
KMB Endeavors, Inc
Doing business as KMB Elevation HCBS Program
- Behavior Analyst
- Aurora, CO
National Provider Identifier
1174198774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@elevationcolo.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- KMB Endeavors Inc
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
- 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.
-
- Behavior Analyst
- Aurora, CO
- NPI 1730700386
-
- Behavior Technician
- Aurora, CO
- NPI 1548087505
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.