Active NPI
Cy-Less Ranch
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Arvada, CO
National Provider Identifier
1285949362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 050416
- Legal business name
- CY-LESS RANCH
- Practice address
- 16155 W 74TH Dr
Arvada, CO 80007-7828 - Phone
- (303) 423-4424
- NPI assigned
- Aug 12, 2010
- 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
- Mrs. Leslie Collins-Pottebaum
- Title
- Owner
- Phone
- (303) 423-4424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 050416 | CO | Primary |
Addresses
Primary practice location
16155 W 74TH Dr
Arvada, CO 80007-7828
Mailing address
16155 W 74TH Dr
Arvada, CO 80007-7828
Phone (303) 423-4424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55580769 | Medicaid | CO |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Greeley, CO
- NPI 1871391565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281571200000",
"number": "1285949362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16155 W 74TH DR",
"city": "ARVADA",
"state": "CO",
"postal_code": "800077828",
"telephone_number": "303-423-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16155 W 74TH DR",
"city": "ARVADA",
"state": "CO",
"postal_code": "800077828",
"telephone_number": "303-423-4424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CY-LESS RANCH",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-12",
"last_updated": "2010-08-12",
"status": "A",
"authorized_official_last_name": "COLLINS-POTTEBAUM",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-423-4424",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "CO",
"license": "050416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55580769",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.