Organization Active NPI

Walkabout Village LLC

  • Community/Behavioral Health Agency
  • Centennial, CO
National Provider Identifier
1316306293
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
71239855 Issued in CO
Legal business name
WALKABOUT VILLAGE LLC
Practice address
5543 S Himalaya Way
Centennial, CO 80015-3695
Phone
(303) 953-2953
NPI assigned
Feb 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Mrs. Dawn Marie Rhods
Title
Owner
Phone
(303) 953-2953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 71239855 CO Primary

Addresses

Primary practice location

5543 S Himalaya Way
Centennial, CO 80015-3695

Mailing address

5543 S Himalaya Way
Centennial, CO 80015-3695
Phone (303) 953-2953

Other identifiers 2

IdentifierTypeStateIssuer
1316306293MedicaidCO
71239855MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1316306293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5543 S HIMALAYA WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153695",
            "telephone_number": "303-953-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5543 S HIMALAYA WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153695",
            "telephone_number": "303-953-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKABOUT VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "RHODS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-953-2953",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "71239855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316306293",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71239855",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.