Organization Active NPI

Upson Hall LLC

  • Substance Abuse Rehabilitation Facility
  • Lakewood, CO
National Provider Identifier
1548916778
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
UPSON HALL LLC
Practice address
2300 S Balsam LN
Lakewood, CO 80227-3162
Phone
(657) 304-0103
NPI assigned
Feb 25, 2022
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Gilbert Yates
Title
Contract Manager
Phone
(877) 262-7803

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2300 S Balsam LN
Lakewood, CO 80227-3162

Mailing address

295 Interlocken Blvd Ste 400
Broomfield, CO 80021-8105

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2158723Upson Hall LLC, Denver Recovery Center2300 South Balsam Lane, Lakewood, CO 80227Certificate of waiverDec 4, 2026

National Provider Directory

National Provider Directory
Tax ID family
Upson Hall LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1548916778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 INTERLOCKEN BLVD STE 400",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S BALSAM LN",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273162",
            "telephone_number": "657-304-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSON HALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "877-262-7803"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.