Rural Angels LLC

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

RURAL ANGELS LLC

Practice address

1484 Morningview LN
Castle Rock, CO 80109-3740

Phone

(307) 287-5377

NPI assigned

Aug 13, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Alexandria A BrockmanNPI 1790331155

Title

Owner/Provider

Phone

(307) 287-5377

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandria Brockman

  • Day Training/Habilitation Specialist
  • Castle Rock, CO
  • NPI 1790331155

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1255987657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 MORNINGVIEW LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093740",
            "telephone_number": "307-287-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 MORNINGVIEW LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093740",
            "telephone_number": "307-287-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "307-287-5377",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Day Training/Habilitation Specialist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Day Training/Habilitation Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.