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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 04000790 | 05 | |
CO | 61522562 | 05 |
Street Address |
6813 S COLLEGE AVE |
City | FORT COLLINS |
State | CO |
Zip Code | 80525-4144 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
Find all providers in zip 80525 |
Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Definition to come. |
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 |
Find all providers in FORT COLLINS |
City | FORT COLLINS |
Zip Code | 80525 |
Please comment or provide details below to improve the information on ELDERHAUS ADULT DAY PROGRAM, INC.
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.