MARTIN HOUSE (NPI# 1093929465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093929465 |
| Entity Type | Organization |
| Organization Name | MARTIN HOUSE |
| Practice Address |
567 18th St Burlington CO 80807-1521 |
| Mailing Address |
1776 Martin Ave Burlington CO 80807-1540 |
| Practice Telephone | 7193465367 |
| Practice Fax Number | 7193466010 |
| Mailing Telephone | 7193468550 |
| Mailing Fax Number | 7193466010 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHERYL REESE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7193465367 |
| 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 | 1167 | CO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 09141912 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARTIN HOUSE CAC, THE | 606 W Garfield Dr Ste D, Longview, TX 75602-5017 |
| Indiana Business Entities | MARTIN HOUSE MANOR L.P. | 1274 Country Rd 12, Corunna, IN 46730 |
| New York State Corporations | MARTIN HOUSE WORKSPACE LLC | Po Box 296, Pound Ridge, Ny 10576 |
| Vermont Business Registrations | MARTIN HOUSE, INC. | Pob 86/14010 Hollow Rd, N Ferrisburgh, VT 05473 |
| Iowa Business Entities | MARTIN HOUSE, L.L.C. | 1564 K Ave, Jefferson, IA 50129 |
| Street Address |
567 18TH ST |
| City | BURLINGTON |
| State | CO |
| Zip Code | 80807-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275672545 | Dynamic Dimensions, Inc | Day Training, Developmentally Disabled Services | 567 18th St, Burlington, CO 80807-1521 | 2007-02-05 |
| 1285848655 | Marion House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 567 18th St, Burlington, CO 80807-1521 | 2007-05-09 |
| 1700090172 | Dynamic Dimensions Inc | Non-emergency Medical Transport (VAN) | 567 18th St, Burlington, CO 80807-1521 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740520642 | Kathryn Helen Dobler | Registered Nurse | 252 South 14th St., Burlington, CO 80807 | 2013-03-01 |
| 1669666269 | Dawn M James | Clinical Nurse Specialist | 54188 County Rd Hh, Burlington, CO 80807 | 2007-08-28 |
| 1972608321 | Kit Carson County Health Services District | Hospice Care, Community Based | 286 16th Street, Burlington, CO 80807 | 2006-09-13 |
| 1043259088 | Aerocare Holdings, Inc | Durable Medical Equipment & Medical Supplies | 349 14th St, Burlington, CO 80807 | 2006-06-05 |
| 1851363865 | Kit Carson County Health and Human Services | Public Health or Welfare | 252 S. 14th Street, Burlington, CO 80807 | 2006-02-03 |
| 1760910178 | Michelle Dawn Wright | Registered Nurse | 182 16th St, Burlington, CO 80807 | 2017-05-30 |
| 1790123669 | Madison Senior Living Management LLC | Respite Care | 465 5th Street, Burlington, CO 80807 | 2013-06-12 |
| 1467753541 | Jason A Sizer | Pharmacist | 314 14th St, Burlington, CO 80807 | 2010-11-05 |
| 1366527400 | Preventive Family Dental PC | Dental Hygienist | 1440 Lowell Ave, Burlington, CO 80807-0094 | 2006-10-26 |
| 1982844874 | Centennial Mental Health Center | Community/Behavioral Health | 1291 Circle Dr, Burlington, CO 80807-1245 | 2009-03-05 |
| Find all providers in zip 80807 | ||||
| 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 |
|---|---|---|---|---|
| 1700312113 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Mohr Rd, Burlington, NJ 08016 | 2017-05-04 |
| 1013443431 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Lardner Rd, Burlington, NJ 08016 | 2017-05-04 |
| 1386186898 | Prince Association for The Developmentally Disabled, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8 Sunset Rd, Burlington, NJ 08016-4152 | 2016-11-15 |
| 1174976955 | Dungarvin New Jersey, LLC-yubas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Yubas Ave, Burlington, NJ 08016 | 2016-07-18 |
| 1356747521 | Lutheran Social Ministries of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3 Manhattan Dr, Burlington, NJ 08016-4119 | 2014-11-14 |
| 1699113043 | Omni Visions, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 862 Ross St, Burlington, NC 27217-1651 | 2013-06-07 |
| 1568800902 | Ralph Scott Lifeservices Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112b Glenwood Ave, Burlington, NC 27215-5022 | 2013-06-07 |
| 1326486762 | Ralph Scott Lifeservices Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 525 Hillcrest Ave, Burlington, NC 27215-3841 | 2013-06-07 |
| 1053759498 | Ralph Scott Lifeservices Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 722 Kivett St Apt A, Burlington, NC 27215-2270 | 2013-06-07 |
| 1598103939 | Ralph Scott Lifeservices Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 722 Kivett St Apt B, Burlington, NC 27215-2270 | 2013-06-07 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 80807 |
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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.