Organization Active NPI

Life Renewal Resrouces

  • Community/Behavioral Health Agency
  • Loveland, CO
National Provider Identifier
1376701730
Registry record updated Jun 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
20051340355 Issued in CO
Legal business name
LIFE RENEWAL RESROUCES
Practice address
2114 N Lincoln Ave Ste 106
Loveland, CO 80538-3858
Phone
(970) 402-4579
NPI assigned
Jun 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2008

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

Authorized official

Name
Dr. Ann M Tharp, PH.D.NPI 1982745220
Title
Business Owner
Phone
(970) 402-4579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 20051340355 CO Primary

Addresses

Primary practice location

2114 N Lincoln Ave Ste 106
Loveland, CO 80538-3858

Mailing address

6814 Antigua Dr Unit 18
Fort Collins, CO 80525-6936
Phone (970) 223-2506

National Provider Directory

National Provider Directory

Locations

2114 N Lincoln Ave
Ste 106
Loveland, CO 80538
Phone (970) 217-2675

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212278400000",
    "number": "1376701730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 ANTIGUA DR UNIT 18",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256936",
            "telephone_number": "970-223-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N LINCOLN AVE STE 106",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383858",
            "telephone_number": "970-402-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE RENEWAL RESROUCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-01",
        "last_updated": "2008-06-01",
        "status": "A",
        "authorized_official_last_name": "THARP",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "970-402-4579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "20051340355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2008; 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.