NPIMap

Organization Active NPI

Community Reach Center, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Northglenn, CO
National Provider Identifier
1659968766
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COMMUNITY REACH CENTER, INC
Practice address
11285 Highline Dr
Northglenn, CO 80233-3076
Phone
(303) 853-3500
NPI assigned
Dec 22, 2020
Last updated
Dec 22, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY REACH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Ryshell Schrader
Title
Billing Manager
Phone
(303) 412-6091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

11285 Highline Dr
Northglenn, CO 80233-3076

Mailing address

1870 W 122ND Ave Ste 100
Westminster, CO 80234-2075
Phone (303) 853-3500

Other identifiers 1

IdentifierTypeStateIssuer
9000157180MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Community Reach Center44 organizations share this tax ID, including this one
Part of
Community Reach Center

Other organizations with this tax ID 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1659968766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 W 122ND AVE STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342075",
            "telephone_number": "303-853-3500",
            "fax_number": "303-853-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 HIGHLINE DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802333076",
            "telephone_number": "303-853-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY REACH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY REACH CENTER, INC",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "RYSHELL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "303-412-6091"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000157180",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.