ELM GROUP HOME GRAND JUNCTION REGIONAL CENTER (NPI# 1023635703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023635703 |
| Entity Type | Organization |
| Organization Name | ELM GROUP HOME GRAND JUNCTION REGIONAL CENTER |
| Other Organization Name | GRAND JUNCTION REGIONAL CENTER |
| Practice Address |
2882 Elm Ave Grand Junction CO 81501-5068 |
| Mailing Address |
703 23 2/10 Rd Grand Junction CO 81505-8707 |
| Practice Telephone | 9702555703 |
| Mailing Telephone | 9702555703 |
| Mailing Fax Number | 9702555913 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | TRUDY RAMOS (DIRECTOR) |
| Authorized Official Telephone | 9702015208 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Grand Junction Regional Center | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2882 Elm Ave, Grand Junction, CO 815015068 | 9702555703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700494713 | Elm Group Home Grand Junction Regional Center | Intermediate Care Facility, Mentally Retarded | 571 Eastbrook St, Grand Junction, CO 81504-4304 | 2020-07-15 |
| Street Address |
2882 ELM AVE |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-5068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700494713 | Elm Group Home Grand Junction Regional Center | Intermediate Care Facility, Mentally Retarded | 571 Eastbrook St, Grand Junction, CO 81504-4304 | 2020-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851529721 | The Otero Corporation | Intermediate Care Facility, Mentally Retarded | 1204 West Ash Street, Suite I, Windsor, CO 80550 | 2009-06-30 |
| 1144466053 | Wheat Ridge Regional Center | Intermediate Care Facility, Mentally Retarded | 9231 W. 68th Place, Arvada, CO 80004-1658 | 2008-12-23 |
| 1144466277 | Wheat Ridge Regional Center | Intermediate Care Facility, Mentally Retarded | 15038 W 49th Pl, Golden, CO 80403-1772 | 2008-12-19 |
| 1508002643 | Wheat Ridge Regional Center | Intermediate Care Facility, Mentally Retarded | 6799 W 67th Ave, Arvada, CO 80003-4012 | 2008-12-19 |
| 1326284456 | Wheat Ridge Regional Center | Intermediate Care Facility, Mentally Retarded | 10270 W 13th Ave, Lakewood, CO 80215-4513 | 2008-12-19 |
| 1235375346 | Wheat Ridge Regional Center | Intermediate Care Facility, Mentally Retarded | 2095 W 53rd Ave, Denver, CO 80221-1412 | 2008-12-18 |
| 1770729881 | Wheat Ridge Regional Center | Intermediate Care Facility, Mentally Retarded | 7929 W 105th Pl, Broomfield, CO 80021-3959 | 2008-12-18 |
| 1619113982 | Wheat Ridge Regional Center | Intermediate Care Facility, Mentally Retarded | 1034 Xenon St, Golden, CO 80401-4215 | 2008-12-17 |
| 1275779548 | Wheat Ridge Regional Center | Intermediate Care Facility, Mentally Retarded | 5340 Perry St, Denver, CO 80212-4032 | 2008-12-17 |
| 1518103894 | Wheat Ridge Regional Center | Intermediate Care Facility, Mentally Retarded | 6397 Lamar Pl, Arvada, CO 80003-4950 | 2008-12-17 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.