NPIMap

Organization Active NPI

Carmel Community Living Corporation

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Lakewood, CO
National Provider Identifier
1598887804
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
04B477 Issued in CO
Legal business name
CARMEL COMMUNITY LIVING CORPORATION
Practice address
11177 W 8TH Ave Ste 220
Lakewood, CO 80215-5520
Phone
(720) 496-2605
Fax
(720) 458-1665
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Jennifer Kelly, MSC
Title
Chief Executive Officer
Phone
(720) 660-1844

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X CO
In Home Supportive Care Agency 253Z00000X CO
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Respite Care 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 04B477 CO Primary

Addresses

Primary practice location

11177 W 8TH Ave Ste 220
Lakewood, CO 80215-5520

Mailing address

451 21St Ave Ste B
Longmont, CO 80501-1483
Phone (303) 444-0573

Other identifiers 1

IdentifierTypeStateIssuer
9000141122MedicaidCO

Other names 1

  • Overture Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carmel Community Living Corporation18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1598887804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 21ST AVE STE B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011483",
            "telephone_number": "303-444-0573",
            "fax_number": "720-563-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11177 W 8TH AVE STE 220",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155520",
            "telephone_number": "720-496-2605",
            "fax_number": "720-458-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL COMMUNITY LIVING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "720-660-1844",
        "authorized_official_credential": "MSC"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "CO",
            "license": "04B477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000141122",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Overture",
            "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 Mar 28, 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.