Active NPI
Alternative Homes for Youth
- Community/Behavioral Health Agency
- Greeley, CO
National Provider Identifier
1780747014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2016
- Legal business name
- ALTERNATIVE HOMES FOR YOUTH
- Practice address
- 1110 M St
Greeley, CO 80631-9586 - Phone
- (970) 353-6010
- Fax
- (970) 353-5636
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Phillips
- Title
- Coo
- Phone
- (970) 353-6010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2016 | CO | Primary |
Addresses
Primary practice location
1110 M St
Greeley, CO 80631-9586
Mailing address
1110 M St
Greeley, CO 80631-9586
Phone (970) 353-6010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58903283 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Alternative Homes for Youth
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Greeley, CO
- NPI 1295455780
Locations
1110 M St
Greeley, CO 80631
Phone (970) 353-6010
700 W 84th Ave
Ste 70
Thornton, CO 80260
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Greeley, CO
- NPI 1528705779
-
- Professional Counselor
- Greeley, CO
- NPI 1083868467
-
- Mental Health Counselor
- Greeley, CO
- NPI 1598910069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661990400000",
"number": "1780747014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 M ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806319586",
"telephone_number": "970-353-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 M ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806319586",
"telephone_number": "970-353-6010",
"fax_number": "970-353-5636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTERNATIVE HOMES FOR YOUTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "970-353-6010"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CO",
"license": "2016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58903283",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.