Mountain Community Pathways

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

MOUNTAIN COMMUNITY PATHWAYS

Doing business as

Mountain Community Pathways, LLC

Practice address

5120 Highway 73
Evergreen, CO 80439-7301

Phone

(720) 583-0440

Fax

(720) 479-8439

NPI assigned

Jun 3, 2016

Last updated

Feb 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Joan Louise Wilson

Title

Co-Director

Phone

(720) 583-0440

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• Mountain Community Pathways, LLC Doing business as

Locations

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

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    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1851740526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28628 BUFFALO PARK RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397319",
            "telephone_number": "720-583-0440",
            "fax_number": "720-479-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 HIGHWAY 73",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397301",
            "telephone_number": "720-583-0440",
            "fax_number": "720-479-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN COMMUNITY PATHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "720-583-0440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02938375",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Community Pathways, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Community Pathways, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Day Training/Habilitation Specialist in Evergreen, CO
• Providers in Evergreen, CO by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.