Organization Active NPI

Bettina Services With Love and Compassion LLC

  • Developmentally Disabled Services Day Training Agency
  • Lakewood, CO
National Provider Identifier
1952773376
Registry record updated Oct 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BETTINA SERVICES WITH LOVE AND COMPASSION LLC
Practice address
53 Gray St
Lakewood, CO 80226-2209
Phone
(720) 352-1725
NPI assigned
Oct 25, 2015
Last updated
Oct 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2015

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

Authorized official

Name
Bettina Haro Oliva Boudezoque
Title
Director
Phone
(720) 352-1725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X CO Primary

Addresses

Primary practice location

53 Gray St
Lakewood, CO 80226-2209

Mailing address

53 Gray St
Lakewood, CO 80226-2209
Phone (720) 352-1725

Other identifiers 1

IdentifierTypeStateIssuer
98028570MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445731200000",
    "number": "1952773376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 GRAY ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262209",
            "telephone_number": "720-352-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 GRAY ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262209",
            "telephone_number": "720-352-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTINA SERVICES WITH LOVE AND COMPASSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-25",
        "last_updated": "2015-10-25",
        "status": "A",
        "authorized_official_last_name": "HARO OLIVA BOUDEZOQUE",
        "authorized_official_first_name": "BETTINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "720-352-1725"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98028570",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2015; 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.