Envision-Creative Support for People With Developmental Disabilities
Organization Active NPI Case Management Agency · Evans, CO
NPI 1992821144 · NPPES record last updated Oct 11, 2016
Key facts
- NPI
- 1992821144
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- ENVISION-CREATIVE SUPPORT FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES
- Practice address
- 1050 37TH St
Evans, CO 80620-2115 - Phone
- (970) 339-5360
- Fax
- (970) 330-2261
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Marylu Walton
- Title
- Executive Director
- Phone
- (970) 339-5360
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Envision Creative Support for People With Developmental Disabilities
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
1050 37TH St
Evans, CO 80620-2115
Mailing address
PO Box 200069
Evans, CO 80620-0069
Phone (970) 339-5360
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50057367 | Medicaid | CO |
Other providers in Evans, CO
- Envision Creative Support for People With Developmental Disabilities
- Envision Creative Support for People With Developmental Disabilities
- Envision Creative Support for People With Developmental Disabilities
- Envision-Creative Support for People With Developmental Disabilities
- Envision-Creative Support for People With Developmental Disabilities
- Collin Rhys Felix
- Jamie S Fetkewicz
- Sean Thomas Filipovitz
- Gregory Finnoff
- Myka Dawn Fisher
All providers in Evans, CO · Case Management 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 Oct 11, 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.