Red Mountain Colorado, LLC

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

RED MOUNTAIN COLORADO, LLC

Practice address

5401 W 9TH St
Greeley, CO 80634-4431

Phone

(970) 631-6364

Fax

(970) 978-4951

NPI assigned

Dec 27, 2019

Organization subpart

No

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

Authorized official

Name

Janea Baker

Title

Business Office Manager

Phone

(970) 515-6400

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1710526504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336100",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806330602",
            "telephone_number": "970-515-6400",
            "fax_number": "970-978-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 W 9TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344431",
            "telephone_number": "970-631-6364",
            "fax_number": "970-978-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MOUNTAIN COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JANEA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "970-515-6400"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Razorback Industries LLC (The Pharmacy at st Michaels)
• RCC Medical Supply Inc
• RCC Medical Supply of Windsor LLC
• Jody A Real, MA, CCC-SLP
• Sequoyah Jade Recio
• Robel Bedali Redae
• Alissa Nicole Redditt Guzman
• Redi-Health
• Redpoint Center, LLC
• Redpoint Center, LLC

• Children's Substance Abuse Rehabilitation Facility in Greeley, CO
• Providers in Greeley, CO by specialty
• Children's Substance Abuse Rehabilitation Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.