Advanced Adult Providers

Primary specialty

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

Legal business name

ADVANCED ADULT PROVIDERS

Practice address

6229 Cubbage Dr
Colorado Springs, CO 80924-2091

Phone

(719) 565-8829

NPI assigned

Nov 8, 2021

Organization subpart

No

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

Authorized official

Name

William BradfordNPI 1487297511

Title

Director

Phone

(719) 565-8829

Specialties & licenses 1

Addresses

Other names 1

• Advanced Adult Providers LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Micheal Bradford, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Pueblo, CO
  • NPI 1487297511
  NPD Authorized official

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1639834336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6229 CUBBAGE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809242091",
            "telephone_number": "719-565-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6229 CUBBAGE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809242091",
            "telephone_number": "719-565-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ADULT PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-565-8829"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Adult Providers LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado Springs, CO
• Providers in Colorado Springs, 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 Nov 8, 2021; 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.