Jaywalker Lodge, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

JAYWALKER LODGE, INC.

Practice address

850 Main CT
Carbondale, CO 81623-1852

Phone

(970) 704-9292

Fax

(970) 704-9092

NPI assigned

Oct 27, 2023

Last updated

Oct 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauri Winslow

Title

Director of Insurance

Phone

(970) 704-9292

Specialties & licenses 1

Addresses

Tax ID family

Jaywalker Lodge Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jaywalker Lodge Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Carbondale, CO
  • NPI 1972901080
  NPD tax ID
• Jaywalker Lodge, LLC

  • Substance Abuse Rehabilitation Facility
  • Carbondale, CO
  • NPI 1750657482
  NPD tax ID

Locations

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1316719867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816230969",
            "telephone_number": "970-704-9292",
            "fax_number": "970-704-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MAIN CT",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231852",
            "telephone_number": "970-704-9292",
            "fax_number": "970-704-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYWALKER LODGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "WINSLOW",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "DIRECTOR OF INSURANCE",
        "authorized_official_telephone_number": "970-704-9292"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Hutchison, L.AC.
• Innovage Home Care Aspen LLC
• Mary C Irwin
• Eryn Jacoby
• Jaywalker Lodge Inc
• Jaywalker Lodge, LLC
• Jobody Pilates
• Alice Hastings Johnson, LCSW
• Kerry Jones, PTA
• Julie a Martin PLLC

• Substance Abuse Rehabilitation Facility in Carbondale, CO
• Providers in Carbondale, CO by specialty
• Substance Abuse Rehabilitation Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.