NPIMap

Organization Active NPI

Centrepoint Support Living, LLC

  • Developmentally Disabled Services Day Training Agency
  • Centennial, CO
National Provider Identifier
1558728022
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
1653433 Issued in CO
Legal business name
CENTREPOINT SUPPORT LIVING, LLC
Practice address
6892 S Yosemite CT # 1-101a
Centennial, CO 80112-1464
Phone
(303) 591-2185
NPI assigned
Jan 28, 2016
Last updated
May 11, 2022By the provider in NPPES
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 & Ceo
Phone
(303) 591-2185

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 1653433 CO Primary
Community/Behavioral Health Agency 251S00000X 1798-00 CO

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
9000141253MedicaidCO

Other names 1

  • Nehemiah Behavioral Health, LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address terry@centrepointsupportliving.com Direct

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

21755 E Smoky Hill Rd
Aurora, CO 80015

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1558728022",
    "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": "2016-01-28",
        "last_updated": "2022-05-11",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT & 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": "CO",
            "license": "1653433",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1798-00",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000141253",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "terry@centrepointsupportliving.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business and New Update",
            "address_1": "21755 E Smoky Hill Rd",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800156752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nehemiah Behavioral Health, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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.