NPIMap

Individual provider Active NPI

Justin Solomon

  • Developmentally Disabled Services Day Training Agency
  • Littleton, CO
National Provider Identifier
1275071268
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
36358851 Issued in CO
Practice address
7800 S Elati St
Littleton, CO 80120-4483
Phone
(303) 484-8990
Fax
(303) 484-8676
NPI assigned
Feb 9, 2017
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 36358851 CO Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 36358851 CO
Non-emergency Medical Transport (VAN) 343900000X 36358851 CO
Day Training/Habilitation Specialist 373H00000X 36358851 CO
Homemaker 376J00000X 36358851 CO
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 36358851 CO

Addresses

Primary practice location

7800 S Elati St
Littleton, CO 80120-4483

Mailing address

PO Box 80728
Lincoln, NE 68501-0728
Phone (402) 742-0311

Other practice location 1

7095 W Fremont Pl
Littleton, CO 80128-4708
Phone (303) 484-8990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36358851COMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Life Choices Day Training, Developmentally Disabled Services Past Accepting new patients
Integrated Life Choices of Colorado Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities Past Accepting new patients

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1275071268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80728",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685010728",
            "telephone_number": "402-742-0311",
            "fax_number": "402-742-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 S ELATI ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204483",
            "telephone_number": "303-484-8990",
            "fax_number": "303-484-8676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7095 W Fremont Pl",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801284708",
            "country_code": "US",
            "telephone_number": "303-484-8990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CO",
            "license": "36358851",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CO",
            "license": "36358851",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "36358851",
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CO",
            "license": "36358851",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "CO",
            "license": "36358851",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "CO",
            "license": "36358851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.