MESA DEVELOPMENTAL SERVICES (NPI# 1083177315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083177315 |
| Entity Type | Organization |
| Organization Name | MESA DEVELOPMENTAL SERVICES |
| Practice Address |
1444 N 23rd St Grand Junction CO 81501-6546 |
| Mailing Address |
2445 N. 8th Street Grand Junction CO 81501 |
| Practice Telephone | 9702549378 |
| Practice Fax Number | 9702556462 |
| Mailing Telephone | 9702568637 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | CHRISTOPHER BRANDON BERGQUIST (CFO) |
| Authorized Official Telephone | 9702568603 |
| Authorized Official Credential | AO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 76135098 | 05 |
| Other Name | Type Code |
|---|---|
| 1444 N. 23rd St | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113146 | Mesa Developmental Services | Case Management | 2445 N 8th St, Grand Junction, CO 81501-8191 | 2020-01-13 |
| 1730742297 | Mesa Developmental Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 309 Kava Way, Grand Junction, CO 81503-3153 | 2019-04-19 |
| 1013570571 | Mesa Developmental Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3301 Laurel Ln, Clifton, CO 81520-8123 | 2019-04-19 |
| 1215590773 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2404 Teller Ave, Grand Junction, CO 81501-5142 | 2019-04-19 |
| 1851954317 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2441 Belford Ave, Grand Junction, CO 81501-5131 | 2019-04-19 |
| 1164085726 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2850 Chipeta Ave, Grand Junction, CO 81501-5176 | 2019-04-19 |
| 1427611086 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2865 Victoria Dr, Grand Junction, CO 81503-2162 | 2019-04-19 |
| 1306409867 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 508 Fruitvale Ct, Grand Junction, CO 81504-4423 | 2019-04-19 |
| 1043873649 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 680 29 1/2 Rd, Grand Junction, CO 81504-5278 | 2019-04-18 |
| 1700449378 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2746 Olson Ave, Grand Junction, CO 81503-2033 | 2019-04-18 |
| Street Address |
1444 N 23RD ST |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-6546 |
| 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 | 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 |
|---|---|---|---|---|
| 1225679988 | Lov Adl's Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 482 Teco Ct, Grand Junction, CO 81504-5858 | 2019-10-03 |
| 1871156331 | Mesa Developmental Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 790 Wellington Ave, Grand Junction, CO 81501-6126 | 2019-04-19 |
| 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 | 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.