Mile High Community Connections LTD

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MILE HIGH COMMUNITY CONNECTIONS LTD

Practice address

4340 E Kentucky Ave Ste 406
Glendale, CO 80246-2076

Phone

(720) 831-7579

NPI assigned

Mar 9, 2022

Organization subpart

Yes

Parent organization

SNOWBANKS INDUSTRIES LLCAs reported in NPPES

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

Authorized official

Name

Mr. Alexander Lee Nieves

Title

Owner

Phone

(720) 831-7579

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1336896281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 E KENTUCKY AVE STE 406",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462076",
            "telephone_number": "720-831-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 E KENTUCKY AVE STE 406",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462076",
            "telephone_number": "720-831-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH COMMUNITY CONNECTIONS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SNOWBANKS INDUSTRIES LLC",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-831-7579",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth McAndrew
• Grant Austin McDonough, D.C.
• Lara Jean McMaster, PTA
• Mga Home Healthcare Colorado, LLC
• Kristi Lyn Mihok, RPH
• Mile High Medical Service
• Collin Miller
• Kelsey Miller, PHARMD.
• Kendall Dru Miller, OTR/L
• Kera Miller, LPC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Glendale, CO
• Providers in Glendale, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.