Active NPI
Eaglesnest Group Center
- Physical Disabilities Residential Treatment Facility
- Bailey, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 1544800
- Legal business name
- EAGLESNEST GROUP CENTER
- Practice address
- 1149 Dick Mountain Dr
Bailey, CO 80421-2097 - Phone
- (303) 838-2468
- Fax
- (303) 838-2478
- NPI assigned
- Feb 27, 2008
- Last updated
- Feb 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Virginia Kennedy
- Title
- Administratot
- Phone
- (303) 838-2468
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 1544800 | CO | Primary |
Addresses
Primary practice location
1149 Dick Mountain Dr
Bailey, CO 80421-2097
Mailing address
1149 Dick Mountain Dr
Bailey, CO 80421-2097
Phone (303) 838-2468
National Provider Directory
National Provider Directory- Tax ID family
- Eagle's Nest Group Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Bailey, CO
- NPI 1447786454
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.
-
- Physical Disabilities Residential Treatment Facility
- Bailey, CO
- NPI 1205361755
Residential Treatment Facility, Physical Disabilities
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1609045350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1149 DICK MOUNTAIN DR",
"city": "BAILEY",
"state": "CO",
"postal_code": "804212097",
"telephone_number": "303-838-2468",
"fax_number": "303-838-2478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 DICK MOUNTAIN DR",
"city": "BAILEY",
"state": "CO",
"postal_code": "804212097",
"telephone_number": "303-838-2468",
"fax_number": "303-838-2478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLESNEST GROUP CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-27",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "MELANIE",
"authorized_official_middle_name": "VIRGINIA",
"authorized_official_title_or_position": "ADMINISTRATOT",
"authorized_official_telephone_number": "303-838-2468"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "CO",
"license": "1544800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bailey, CO
- Diversus Health Inc (Diversus Health Services)
- Diversus Health Inc (Diversus Health Services)
- Jennifer Dailey Dougherty, ATC, CMT
- Wendy L Dutton, DAOM, L.AC.
- Eagle's Nest Group Center
- Edge Medical Services
- Elevation Gain Counseling Services LLC
- Family Integration Counseling Service, Inc.
- Five Points Wellness, LLC (Bailey BioHealth)
- Thomas Michael Fosler
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.