Active Community Access LLC
Organization Active NPI Developmentally Disabled Services Day Training Agency · Centennial, CO
NPI 1902255334 · NPPES record last updated Jun 7, 2016
Key facts
- NPI
- 1902255334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- ACTIVE COMMUNITY ACCESS LLC
- Practice address
- 6841 S Yosemite St
Centennial, CO 80112-1434 - Phone
- (720) 988-9827
- NPI assigned
- Jun 7, 2016
- Organization subpart
- No
Authorized official
- Name
- Mary Braun, MS
- Title
- Director
- Phone
- (720) 988-9827
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
6841 S Yosemite St
Centennial, CO 80112-1434
Mailing address
PO Box 24327
Denver, CO 80224-0327
Phone (720) 988-9827
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85952346 | Medicaid | CO |
Other providers in Centennial, CO
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- Active Family Chiropractic
- Acupuncture & Herbal Health, LTD.
- Madison Elizabeth Adair
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All providers in Centennial, CO · Developmentally Disabled Services Day Training Agency in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.