Organization Active NPI

Cy-Less Ranch

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Arvada, CO
National Provider Identifier
1285949362
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
050416 Issued in CO
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

Updated by the provider on Aug 12, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
55580769MedicaidCO

National Provider Directory

National Provider Directory

Ownership & 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.

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.

Verify at the official NPI Registry.