ISLAND GROVE REGIONAL TREATMENT CENTER (NPI# 1033397088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033397088 |
Entity Type | Organization |
Organization Name | ISLAND GROVE REGIONAL TREATMENT CENTER |
Practice Address |
1250 N Wilson Avenue Loveland CO 80537 |
Practice Telephone | 9706691700 |
Practice Fax Number | 9706635617 |
Mailing Telephone | 9706691700 |
Mailing Fax Number | 9706635617 |
Enumeration Date | 2008-02-01 |
Last Update Date | 2008-02-01 |
Authorized Official Name | MR. KENDALL P ALEXANDER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9703566664 |
Authorized Official Credential | MSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 105108 | CO | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 33684766 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952589327 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 1260 H Street, Greeley, CO 80631 | 2008-02-07 |
1194903153 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 212 W Mountain Avenue, Ft Collins, CO 80521 | 2008-02-01 |
Street Address |
1250 N WILSON AVENUE |
City | LOVELAND |
State | CO |
Zip Code | 80537 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972161073 | Schaeffer Therapy, LLC | Marriage & Family Therapist | 585 North Lincoln Avenue, 571, Loveland, CO 80537 | 2019-06-04 |
1447729132 | Mountainside Counseling, Pllc | Clinic/Center | 1380 Denve Ave., Loveland, CO 80537 | 2018-11-26 |
1629582945 | Katheryn D Sierocki | Spec/Tech, Health Info | 3918 Joni Ln, Loveland, CO 80537 | 2017-11-22 |
1902339963 | Hti2, LLC Dba Pearle Vision Loveland | Point of Service | 1391 Sculptor Dr., Loveland, CO 80537 | 2017-04-06 |
1407391980 | Whitney Grigsby | Behavior Technician | 5323 Cedar Valley Drive, Loveland, CO 80537 | 2016-12-20 |
1770026940 | Mh Health Care Services, PC | Nurse Practitioner | 1632 Topaz Lane, C/o of City of Loveland Health Center, Loveland, CO 80537 | 2016-11-21 |
1417324443 | Erica Hawks | Speech-Language Pathologist | 241 Lori Dr, Loveland, CO 80537 | 2015-08-25 |
1356749485 | Traci-ann Seana Reynolds | Dental Hygienist | 1135 N. Lincoln Ave, Suite 4, Loveland, CO 80537 | 2014-12-05 |
1215342274 | Charles Lee Simmons Jr. | Counselor | 1905 W 8th St Ste 202, Loveland, CO 80537 | 2014-06-27 |
1376979716 | Ariel Friese | Counselor | 832 W Eisenhower Blvd Ste B1, Loveland, CO 80537 | 2013-09-17 |
Find all providers in zip 80537 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669898920 | L&j Healthcare Dba Adams Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 1569 State Route 28, Loveland, OH 45140-6086 | 2014-03-11 |
1144658261 | Innerbalance Health Center | Substance Abuse Rehabilitation Facility | 1414 W 28th St, Loveland, CO 80538-3101 | 2013-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295336071 | Sobriety House, Inc. | Substance Abuse Rehabilitation Facility | 1368 Elizabeth St, Denver, CO 80206-2309 | 2020-11-06 |
1548874308 | Lotus Lodge, LLC | Substance Abuse Rehabilitation Facility | 206 Uvalda St, Aurora, CO 80011-8602 | 2020-08-31 |
1710591573 | Lotus Lodge Men, LLC | Substance Abuse Rehabilitation Facility | 16313 E 7th Dr, Aurora, CO 80011-4524 | 2020-08-31 |
1710509583 | Crossroads' Turning Points, Inc. | Substance Abuse Rehabilitation Facility | 1004 Carbon Place, Trinidad, CO 81082 | 2020-05-14 |
1538796156 | Rocky Mountain Detox, LLC | Substance Abuse Rehabilitation Facility | 1336 Pierce St, Lakewood, CO 80214-1939 | 2020-03-24 |
1215574413 | Healing Pines Recovery, LLC. | Substance Abuse Rehabilitation Facility | 5550 County Road 124, Elizabeth, CO 80107 | 2019-12-06 |
1790328607 | Gallus Detox Denver LLC | Substance Abuse Rehabilitation Facility | 5920 S Estes St Ste 150, Littleton, CO 80123-8620 | 2019-10-23 |
1114584232 | Scw Recovery LLC | Substance Abuse Rehabilitation Facility | 330 Fiedler Ave, Ste 103, Dillon, CO 80435 | 2019-05-23 |
1902462617 | Colorado West Regional Mental Health, Inc. | Substance Abuse Rehabilitation Facility | 2800 Riverside Pkwy Bldg 2, Grand Junction, CO 81501-4721 | 2019-05-17 |
1487122057 | Valiant Dtx, LLC | Substance Abuse Rehabilitation Facility | 2602 S Ensenada Way, Aurora, CO 80013-7690 | 2018-11-12 |
Find all providers with the same taxonomy |
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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.