ELDERHAUS ADULT DAY PROGRAM, INC


Address: 6813 S College Ave, Fort Collins, CO 80525-4144
Phone: 9702210406

ELDERHAUS ADULT DAY PROGRAM, INC (NPI# 1073997417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073997417
Entity Type Organization
Organization Name ELDERHAUS ADULT DAY PROGRAM, INC
Practice Address 6813 S College Ave
Fort Collins
CO 80525-4144
Practice Telephone 9702210406
Mailing Telephone 9702210406
Enumeration Date 2015-07-15
Last Update Date 2017-02-01
Authorized Official Name JOANNE R VANDE WALLE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9702210406
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251C00000X Day Training, Developmentally Disabled Services Agencies
N 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities
Y 385H00000X Respite Care Respite Care Facility

Other Provider Identifier

State Issuer Identifier Type Code
CO 04000790 05
CO 61522562 05

Office Location

Street Address 6813 S COLLEGE AVE
City FORT COLLINS
State CO
Zip Code 80525-4144

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1841774502 Shannon L Harris Social Worker 305 Carpenter Road, Fort Collins, CO 80525 2018-09-19
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Taxonomy Information

Taxonomy Code 385H00000X
Grouping Respite Care Facility
Classification Respite Care

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598219008 Shine, LLC Respite Care 513 West St, Fort Collins, CO 80521-1860 2016-08-12
1528512712 Spears Respite Services, LLC Respite Care 1062 Cunningham Dr, Apt 3, Fort Collins, CO 80526-5920 2016-08-05
1982799383 Hanlon-bush Investments, LLC Respite Care 1020 Patton Street, Fort Collins, CO 80524-4018 2006-10-03
1932152758 Peak Medical Colorado No. 3 LLC Respite Care 1005 E Elizabeth St, Fort Collins, CO 80524-3911 2006-05-19
1265995948 Tandem Employment Services Inc Respite Care 2139 Bowside Dr, Fort Collins, CO 80524-6750 2019-04-10
1538666359 Ssc Fort Collins Lemay Avenue Operating Company LLC Respite Care 1000 S Lemay Ave, Fort Collins, CO 80524-3914 2018-04-09
1588029334 Desert Springs Respite Care 1631 Barnwood Dr, Fort Collins, CO 80525-2069 2015-12-22
1699895557 Ssc Fort Collins Lemay Avenue Operating Company LLC Respite Care 1000 S Lemay Ave, Fort Collins, CO 80524-3914 2007-04-01
1417077371 Ssc Fort Collins Spring Creek Operating Company LLC Respite Care 1000 E Stuart St, Fort Collins, CO 80525-1555 2007-04-01
1154457893 Foothills Gateway Inc. Respite Care 301 Skyway Dr, Fort Collins, CO 80525-3911 2007-02-26
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Competitor

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City FORT COLLINS
Zip Code 80525

Improve Information

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Dataset Information

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.

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