NPIMap

Organization Active NPI

A Community Re-Entry Place Inside/Out

  • Substance Abuse Rehabilitation Facility
  • Aurora, CO
National Provider Identifier
1184013740
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
6107 Issued in CO
Legal business name
A COMMUNITY RE-ENTRY PLACE INSIDE/OUT
Practice address
14221 E 4TH Ave Ste 330
Aurora, CO 80011-8727
Phone
(720) 207-5041
Fax
(720) 222-0739
NPI assigned
Jan 20, 2015
Last updated
Jan 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Deborah Winans, BA, CAC IIINPI 1801299003
Title
Executive Director
Phone
(720) 207-5041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 6107 CO Primary

Addresses

Primary practice location

14221 E 4TH Ave Ste 330
Aurora, CO 80011-8727

Mailing address

14221 E 4TH Ave Ste 330
Aurora, CO 80011-8727
Phone (720) 207-5041

National Provider Directory

National Provider Directory
Tax ID family
A Community Re-Entry Place Insideout2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

14221 E 4th Ave
Ste 330
Aurora, CO 80011
Phone (720) 207-5041

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": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1184013740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14221 E 4TH AVE STE 330",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118727",
            "telephone_number": "720-207-5041",
            "fax_number": "720-222-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 E 4TH AVE STE 330",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118727",
            "telephone_number": "720-207-5041",
            "fax_number": "720-222-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A COMMUNITY RE-ENTRY PLACE INSIDE/OUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "WINANS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "720-207-5041",
        "authorized_official_credential": "BA, CAC III"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CO",
            "license": "6107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 20, 2015; 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.