NPIMap

Organization Active NPI

Envision Creative Support for People With Developmental Disabilities

  • Case Management Agency
  • Evans, CO
National Provider Identifier
1245859701
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ENVISION CREATIVE SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES
Practice address
1050 37TH St
Evans, CO 80620-2115
Phone
(970) 313-2628
NPI assigned
Apr 14, 2020
Last updated
Apr 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Lori Jean Fleming
Title
Billing Tech
Phone
(970) 313-2628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1050 37TH St
Evans, CO 80620-2115

Mailing address

PO Box 200069
Evans, CO 80620-0069
Phone (970) 313-2628

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL !encrypt! Direct

National Provider Directory

National Provider Directory
Tax ID family
Envision Creative Support for People With Developmental Disabilities6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1245859701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200069",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806200069",
            "telephone_number": "970-313-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 37TH ST",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806202115",
            "telephone_number": "970-313-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION CREATIVE SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BILLING TECH",
        "authorized_official_telephone_number": "970-313-2628"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "!encrypt!",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1050 37th St",
            "city": "Evans",
            "state": "CO",
            "country_code": "US",
            "postal_code": "806202115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evans, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.