Denver Source, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

DENVER SOURCE, LLC

Practice address

1525 W Parkhill Ave
Littleton, CO 80120-2614

Phone

(720) 291-7230

NPI assigned

Sep 13, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

DENVER SOURCE, LLCAs reported in NPPES

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

Authorized official

Name

Mr. John Pierce Dickey, BA, MHANPI 1659751394

Title

Director/Ceo

Phone

(720) 597-0366

Specialties & licenses 7

Addresses

Part of

Denver Source LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John P Dickey, BA, MHA

  • Case Management Agency
  • Littleton, CO
  • NPI 1659751394
  NPD Authorized official

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548789332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W PARKHILL AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202614",
            "telephone_number": "720-291-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W PARKHILL AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202614",
            "telephone_number": "720-291-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER SOURCE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENVER SOURCE, LLC",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PIERCE",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "720-597-0366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA, MHA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "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": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Denver Recovery Group LLC (DRG Labs)
• Denver Recovery Solutions
• Denver Speech and Language, Inc.
• Denver Surgical Assistants PC
• Denver Therapy Online
• Denver VA Medical Center
• Department of Justice

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Littleton, CO
• Providers in Littleton, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.