NPIMap

Organization Active NPI

Jefferson Hills Corporation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lakewood, CO
National Provider Identifier
1548388325
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
88459 Issued in CO
Legal business name
JEFFERSON HILLS CORPORATION
Doing business as
Jefferson Hills Lakewood
Practice address
421 Zang St
Lakewood, CO 80228-1052
Phone
(303) 989-4357
Fax
(303) 988-2017
NPI assigned
Mar 27, 2007
Organization subpart
Yes
Parent organization
JEFFERSON HILLS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Christine Ellis
Title
Controller
Phone
(303) 969-3822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 88459 CO Primary

Addresses

Primary practice location

421 Zang St
Lakewood, CO 80228-1052

Mailing address

421 Zang St
Lakewood, CO 80228-1052
Phone (303) 989-4357

Other identifiers 1

IdentifierTypeStateIssuer
92138845MedicaidCO

Other names 1

  • Jefferson Hills Lakewood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jefferson Hills Corporation2 organizations share this tax ID, including this one
Part of
Jefferson Hills Corporation

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1548388325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 ZANG ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281052",
            "telephone_number": "303-989-4357",
            "fax_number": "303-988-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 ZANG ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281052",
            "telephone_number": "303-989-4357",
            "fax_number": "303-988-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HILLS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFERSON HILLS CORPORATION",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "303-969-3822"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CO",
            "license": "88459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92138845",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Hills Lakewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.