NPIMap

Organization Active NPI

Carmel Community Living Corporation

Doing business as Overture

  • Developmentally Disabled Services Day Training Agency
  • Longmont, CO
National Provider Identifier
1376608505
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CARMEL COMMUNITY LIVING CORPORATION
Doing business as
Overture
Practice address
425 S Bowen St Ste 6
Longmont, CO 80501-6140
Phone
(720) 660-1844
Fax
(720) 458-1665
NPI assigned
Dec 27, 2006
Last updated
Oct 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Jennifer Ordway, MSC
Title
Chief Executive Officer
Phone
(720) 660-1844

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Home Health Agency 251E00000X 04B477 CO
Respite Care 385H00000X 04B477 CO
In Home Supportive Care Agency 253Z00000X 04B477 CO

Addresses

Primary practice location

425 S Bowen St Ste 6
Longmont, CO 80501-6140

Mailing address

451 21St Ave Ste B
Longmont, CO 80501-1483
Phone (303) 444-0573

Other identifiers 1

IdentifierTypeStateIssuer
05374367MedicaidCO

Other names 1

  • Overture Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carmel Community Living Corporation18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

425 S Bowen St
Ste 6
Longmont, CO 80501
Phone (720) 600-6948

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1376608505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 21ST AVE STE B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011483",
            "telephone_number": "303-444-0573",
            "fax_number": "720-600-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S BOWEN ST STE 6",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016140",
            "telephone_number": "720-660-1844",
            "fax_number": "720-458-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL COMMUNITY LIVING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "ORDWAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "720-660-1844",
        "authorized_official_credential": "MSC"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CO",
            "license": "04B477",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CO",
            "license": "04B477",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04B477",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05374367",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Overture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.