Interaction Resource D.D.D. C

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

INTERACTION RESOURCE D.D.D. C

Practice address

3636 S Independence St
Lakewood, CO 80235-1205

Phone

(720) 291-3332

NPI assigned

Jun 13, 2021

Organization subpart

No

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

Authorized official

Name

Carol A Coffey

Title

Owner

Phone

(720) 291-3332

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Carol Coffey Other name

Locations

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623542400000",
    "number": "1992373310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 LAWRENCE 2140",
            "city": "SARCOXIE",
            "state": "MO",
            "postal_code": "648628238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 S INDEPENDENCE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802351205",
            "telephone_number": "720-291-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTION RESOURCE D.D.D. C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-13",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-291-3332"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000142186",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carol Coffey",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Institute for Change, P.C.
• Integral Physical Therapy LLC
• Integral Physical Therapy LLC
• Integrated Rehab Consultants Colorado LLC
• Integrative Wellness Associates, PC
• Intermountain Medical Group Denver, LLC
• Intermountain Medical Group Denver, LLC
• Intermountain Medical Group Denver, LLC
• Intermountain Medical Group Denver, LLC
• Intermountain Medical Group Denver, LLC

• Developmentally Disabled Services Day Training Agency in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Developmentally Disabled Services Day Training Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; 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.