NPIMap

Organization Active NPI

Mount Saint Vincent Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Denver, CO
National Provider Identifier
1699943852
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
992562 Issued in CO
Legal business name
MOUNT SAINT VINCENT HOME
Practice address
4159 Lowell Blvd
Denver, CO 80211-1658
Phone
(303) 458-7220
Fax
(303) 477-7559
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Mr. Kirk Damon Ward, LCSWNPI 1144606914
Title
Clinical Director
Phone
(303) 458-7220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 992562 CO Primary

Addresses

Primary practice location

4159 Lowell Blvd
Denver, CO 80211-1658

Mailing address

4159 Lowell Blvd
Denver, CO 80211-1658
Phone (303) 458-7220

National Provider Directory

National Provider Directory
Tax ID family
Mt St Vincent Home12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

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": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1699943852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4159 LOWELL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111658",
            "telephone_number": "303-458-7220",
            "fax_number": "303-477-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4159 LOWELL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111658",
            "telephone_number": "303-458-7220",
            "fax_number": "303-477-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT SAINT VINCENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "DAMON",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "303-458-7220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CO",
            "license": "992562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.