Organization Active NPI

Autism Home Support Services, Inc.

  • Behavior Analyst
  • Westminster, CO
National Provider Identifier
1821689456
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AUTISM HOME SUPPORT SERVICES, INC.
Practice address
12365 Huron St Ste 1600
Westminster, CO 80234-3496
Phone
(844) 247-7222
Fax
(847) 584-2604
NPI assigned
Jan 27, 2021
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Julie Bush
Title
Credentialing Manager
Phone
(847) 584-2604

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

12365 Huron St Ste 1600
Westminster, CO 80234-3496

Mailing address

PO Box 639561
Cincinnati, OH 45263-9561
Phone (844) 247-7222

National Provider Directory

National Provider Directory
Tax ID family
Autism Home Support Services Inc3 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

12365 Huron St
Ste 1600
Westminster, CO 80234
Phone (970) 528-5030

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1821689456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639561",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639561",
            "telephone_number": "844-247-7222",
            "fax_number": "847-584-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12365 HURON ST STE 1600",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343496",
            "telephone_number": "844-247-7222",
            "fax_number": "847-584-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM HOME SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "847-584-2604"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.