Organization Active NPI

Goodwill of Colorado

  • Day Training/Habilitation Specialist
  • Denver, CO
National Provider Identifier
1720649122
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
GOODWILL OF COLORADO
Doing business as
Goodwill Industries of Denver
Practice address
6850 Federal Blvd
Denver, CO 80221-2628
Phone
(303) 650-7700
NPI assigned
Jun 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Tamara Trujillo
Title
Director of Community Programs
Phone
(719) 635-4483

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X Primary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Respite Care 385H00000X

Addresses

Primary practice location

6850 Federal Blvd
Denver, CO 80221-2628

Mailing address

6850 Federal Blvd
Denver, CO 80221-2628
Phone (303) 650-7700

Other identifiers 1

IdentifierTypeStateIssuer
9000143529MedicaidCO

Other names 1

  • Goodwill Industries of Denver Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Goodwill of Colorado3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

6850 Federal Blvd
Denver, CO 80221
Phone (303) 650-7700

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1720649122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802212628",
            "telephone_number": "303-650-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802212628",
            "telephone_number": "303-650-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "DIRECTOR OF COMMUNITY PROGRAMS",
        "authorized_official_telephone_number": "719-635-4483"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000143529",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwill Industries of Denver",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goodwill Industries of Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 31, 2023; 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.