Organization Active NPI

Centrepoint Support Living, LLC

Doing business as Nehemiah Community Services

  • Developmentally Disabled Services Day Training Agency
  • Centennial, CO
National Provider Identifier
1518409879
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CENTREPOINT SUPPORT LIVING, LLC
Doing business as
Nehemiah Community Services
Practice address
6892 S Yosemite CT # 1-101a
Centennial, CO 80112-1464
Phone
(303) 591-2185
NPI assigned
Nov 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Mr. Terry R. Williams
Title
President and Ceo
Phone
(303) 591-2185

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Early Intervention Provider Agency 252Y00000X
Respite Care 385H00000X

Addresses

Primary practice location

6892 S Yosemite CT # 1-101a
Centennial, CO 80112-1464

Mailing address

6892 S Yosemite CT # 1-101a
Centennial, CO 80112-1464
Phone (303) 591-2185

Other identifiers 1

IdentifierTypeStateIssuer
46777MedicaidCO

Other names 1

  • Nehemiah Community Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centrepoint Support Living LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

9200 E Mineral Ave
Centennial, CO 80112

NPI Registry JSON

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1518409879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6892 S YOSEMITE CT # 1-101A",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121464",
            "telephone_number": "303-591-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6892 S YOSEMITE CT # 1-101A",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121464",
            "telephone_number": "303-591-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTREPOINT SUPPORT LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "303-591-2185",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46777",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nehemiah Community Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nehemiah Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.