NPIMap

Organization Active NPI

Mount St. Vincent Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Denver, CO
National Provider Identifier
1780338640
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
MOUNT ST. VINCENT HOME
Doing business as
Mount St. Vincent Home (QRTP)
Practice address
4159 Lowell Blvd
Denver, CO 80211-1658
Phone
(303) 458-7220
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Joseph H Shehata
Title
Director of Finance
Phone
(303) 458-7220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

4159 Lowell Blvd
Denver, CO 80211-1658

Mailing address

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

Other names 1

  • Mount St. Vincent Home (QRTP) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mount 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.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1780338640",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ST. VINCENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "SHEHATA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "303-458-7220"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount St. Vincent Home (QRTP)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount St. Vincent Home (QRTP)",
            "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 Feb 17, 2022; 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.