Active NPI
Community Advantage, Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Northglenn, CO
National Provider Identifier
1487869954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- COMMUNITY ADVANTAGE, INC
- Practice address
- 11990 Grant St Ste 550
Northglenn, CO 80233-1101 - Phone
- (970) 330-3349
- NPI assigned
- May 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Patricia Rodenberg-Roberts
- Title
- Chief Regulatory Officer Sr Asst GC
- Phone
- (952) 836-2234
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary | ||
| Homemaker | 376J00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
11990 Grant St Ste 550
Northglenn, CO 80233-1101
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Phone (800) 388-5150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30830885 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Community Advantage Inc
Other organizations with this tax ID 11
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Longmont, CO
- NPI 1003021585
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Longmont, CO
- NPI 1184839664
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Evans, CO
- NPI 1881879856
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Greeley, CO
- NPI 1275749673
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Greeley, CO
- NPI 1336354810
-
- Developmentally Disabled Services Day Training Agency
- Longmont, CO
- NPI 1396952933
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Longmont, CO
- NPI 1578878393
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Northglenn, CO
- NPI 1588871123
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Longmont, CO
- NPI 1669787487
-
- Home Health Agency
- Colorado Springs, CO
- NPI 1861666000
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Longmont, CO
- NPI 1932414752
Locations
5400 W 11th St
Ste D
Greeley, CO 80634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783036800000",
"number": "1487869954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 FRANCE AVE S STE 350",
"city": "EDINA",
"state": "MN",
"postal_code": "554351810",
"telephone_number": "800-388-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11990 GRANT ST STE 550",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802331101",
"telephone_number": "970-330-3349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY ADVANTAGE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A",
"authorized_official_last_name": "RODENBERG-ROBERTS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "CHIEF REGULATORY OFFICER SR ASST GC",
"authorized_official_telephone_number": "952-836-2234"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30830885",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northglenn, CO
- Colorado Center for Arthritis and Osteoporosis
- Colorado Psychiatry Center, PC
- Colorado Transport
- Colorado Urologic Surgery Center, LLC
- Comfort Dental Group of Northglenn
- Community Advantage, Inc.
- Community Medical Services Montana Private LLC
- Community Reach Center
- Community Reach Center, Inc
- Community Reach Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.