MIKE'S PLACE LLC (NPI# 1043818719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043818719 |
| Entity Type | Organization |
| Organization Name | MIKE'S PLACE LLC |
| Practice Address |
325 Garfield Avenue Carbondale CO 81623 |
| Mailing Address |
323 Garfield Avenue Carbondale CO 81623 |
| Practice Telephone | 9703198496 |
| Mailing Telephone | 9703198496 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | REBECCA L YOUNG (DIRECTOR) |
| Authorized Official Telephone | 9703198496 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 48808717 | 05 |
| Street Address |
325 GARFIELD AVENUE |
| City | CARBONDALE |
| State | CO |
| Zip Code | 81623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447042 | Alexis Drane | Behavioral Analyst | 818 Industry Pl, Carbondale, CO 81623 | 2018-11-28 |
| 1003265166 | Communication Corner Speech Language Therapy LLC | Speech-Language Pathologist | 0402 Summit Drive, Carbondale, CO 81623 | 2016-06-09 |
| 1538531066 | Robert Pew | Counselor | 520 S 3rd St., Suite 12, Carbondale, CO 81623 | 2015-10-23 |
| 1326420068 | Hope Springs Counseling | Community/Behavioral Health | 1418 Country Road 107, Carbondale, CO 81623 | 2015-06-18 |
| 1932498425 | Kristen Elizabeth Maire | Social Worker | 0189 Jw Drive, Suite 5, Carbondale, CO 81623 | 2011-04-05 |
| 1518277169 | Sarah H Shook | Clinic/Center | 1378 West Main St, Carbondale, CO 81623 | 2010-10-18 |
| 1194909580 | Aspen Home Health Care Inc. | Case Management | 1158 Highway 133, Carbondale, CO 81623 | 2007-12-21 |
| 1679783211 | Julianne Stuart Guy | Midwife | 20 North 4th St, Carbondale, CO 81623 | 2007-05-23 |
| 1700972809 | Elizabeth Flood Spidell | Family Medicine | 1340 Hwy. 133, Carbondale, CO 81623 | 2006-10-05 |
| 1699703421 | Andrews A. White | Optometrist | 1150 Hwy 133, Carbondale, CO 81623 | 2006-06-29 |
| Find all providers in zip 81623 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376016097 | Mountain Valley Developmental Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 850 Main Ct, Carbondale, CO 81623-1852 | 2019-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203535 | Special Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2776 S Dunkirk Ct, Aurora, CO 80013-4744 | 2020-10-23 |
| 1083220750 | Liberty Residential LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 923 S Telluride St, Aurora, CO 80017-3346 | 2020-09-18 |
| 1386254019 | Grace Mountain LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6030 Blue Ridge Dr Apt H, Highlands Ranch, CO 80130-3630 | 2020-08-07 |
| 1598381766 | Hand and Heart Host Homes Agency | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 391 S Simms St, Lakewood, CO 80228-2905 | 2020-06-23 |
| 1750907135 | Bianca Alish Lott | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17827 E Mexico Dr, Aurora, CO 80017-5378 | 2020-06-22 |
| 1790300705 | Haset | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 855 S Kalispell Cir Unit 205, Aurora, CO 80017-2098 | 2020-06-15 |
| 1619599826 | Metro Hearts Host Homes Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1192 Sandpiper Ln, Brighton, CO 80601-7391 | 2020-05-11 |
| 1588283550 | Roots, Limited Liability Co. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 436 Purple Plum Ct, Fruita, CO 81521-6205 | 2020-04-10 |
| 1235760497 | Garden Neighbors, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2773 W Long Dr, Littleton, CO 80120-5531 | 2020-01-27 |
| 1386284461 | Integrated Life Choices | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7800 S Elati St Ste 111, Littleton, CO 80120-4400 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 81623 |
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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.