NPIMap

Organization Active NPI

Constitution Road Healthcare, Inc.

  • Rehabilitation Clinic/Center
  • Englewood, CO
National Provider Identifier
1407496599
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CONSTITUTION ROAD HEALTHCARE, INC.
Practice address
3401 S Lafayette St
Englewood, CO 80113-2926
Phone
(303) 761-0075
Fax
(303) 761-2967
NPI assigned
Jan 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Soon Burnam
Title
Treasurer
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

3401 S Lafayette St
Englewood, CO 80113-2926

Mailing address

3401 S Lafayette St
Englewood, CO 80113-2926
Phone (303) 761-0075

Other names 1

  • Julia Temple Outpatient Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Outpatient physical therapy / speech pathology certification: CCN 066658

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
JULIA TEMPLE OUTPATIENT SERVICES
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Mar 11, 2019
Last certification
Jan 7, 2025
Ownership / control type
Proprietary
Facility address
3401 S Lafayette St
Englewood, CO 80113

National Provider Directory

National Provider Directory
Tax ID family
Constitution Road Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1407496599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 S LAFAYETTE ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132926",
            "telephone_number": "303-761-0075",
            "fax_number": "303-761-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 S LAFAYETTE ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132926",
            "telephone_number": "303-761-0075",
            "fax_number": "303-761-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTITUTION ROAD HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julia Temple Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.