STOUT STREET FOUNDATION (NPI# 1104248947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104248947 |
| Entity Type | Organization |
| Organization Name | STOUT STREET FOUNDATION |
| Other Organization Name | SERENITY |
| Practice Address |
7201 E 49th Ave Commerce City CO 80022-4714 |
| Mailing Address |
7251 E 49th Ave Commerce City CO 80022-4714 |
| Practice Telephone | 3033212533 |
| Practice Fax Number | 3034686184 |
| Mailing Telephone | 3033212533 |
| Mailing Fax Number | 3034686199 |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |
| Authorized Official Name | MR. NICHOLAS JOEL PETRUCELLI (VICE PRESIDENT OF PROGRAMS) |
| Authorized Official Telephone | 3033212533 |
| Authorized Official Credential | CAC III |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 139909 | CO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 17085071 | 05 |
| Other Name | Type Code |
|---|---|
| Serenity | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841377876 | Stout Street Foundation | Substance Abuse Rehabilitation Facility | 7251 E 49th Ave, Commerce City, CO 80022-4714 | 2006-11-01 |
| 1619270766 | Stout Street Foundation | Substance Abuse Rehabilitation Facility | 7251 E 49th Ave, Commerce City, CO 80022-4714 | 2010-12-13 |
| 1992925077 | Stout Street Foundation | Substance Abuse Rehabilitation Facility | 7251 E 49th Ave, Commerce City, CO 80022-4714 | 2007-04-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | STOUT STREET FOUNDATION | 7251 E 49th Ave, Commerce City, CO 80022 |
| Street Address |
7201 E 49TH AVE |
| City | COMMERCE CITY |
| State | CO |
| Zip Code | 80022-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245853944 | Angelica L. Seto, Dds, Pllc | Dentist | 4972 E. 62nd Ave, Ste B-1, Commerce City, CO 80022 | 2020-05-28 |
| 1467084129 | Tri-county Health Department | Clinic/Center | 7201 E. 72nd Ave., Commece City, CO 80022 | 2020-02-10 |
| 1750850772 | Commerce City Dental Partners Pllc | Dentist | 6091 Dexter Street, Commerce City, CO 80022 | 2018-11-20 |
| 1891218525 | Rita Manaugh | Registered Nurse | 16835 E 111th Drive, Commerce City, CO 80022 | 2017-07-25 |
| 1245780568 | Britt Bay LLC | Non-emergency Medical Transport (VAN) | 5400 Monroe, Denver, CO 80022 | 2016-10-11 |
| 1184170748 | Wallowa County Health Care District | Clinic/Center | 16351 E. 104th Place, Commerce City, CO 80022 | 2016-09-01 |
| 1023465523 | Ashley Rose Nichols | Registered Nurse | 9758 Laredo St #10b, Commerce City, CO 80022 | 2016-05-16 |
| 1417320623 | Perfect Teeth - Commerce City P.C. | Dentist | 15200 E. 104th Ave., Commerce City, CO 80022 | 2015-11-10 |
| 1144698739 | Tiffany Brimberry | Psychologist | 13611 E 104th Ave Unit 100, Commerce City, CO 80022 | 2015-09-13 |
| 1720485881 | Melissa Nelson | Counselor | 13653 East 104th Ave, Suite 150, Commerce City, CO 80022 | 2014-12-04 |
| Find all providers in zip 80022 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841377876 | Stout Street Foundation | Substance Abuse Rehabilitation Facility | 7251 E 49th Ave, Commerce City, CO 80022-4714 | 2006-11-01 |
| 1902109077 | The Stout Street Foundation | Substance Abuse Rehabilitation Facility | 7251 E 49th Ave, Commerce City, CO 80022-4714 | 2010-12-13 |
| 1619270766 | Stout Street Foundation | Substance Abuse Rehabilitation Facility | 7251 E 49th Ave, Commerce City, CO 80022-4714 | 2010-12-13 |
| 1669774550 | Joseph Lorenzo Wilbert | Substance Abuse Rehabilitation Facility | 7251 E 49th Ave, Commerce City, CO 80022-4714 | 2010-11-26 |
| 1992925077 | Stout Street Foundation | Substance Abuse Rehabilitation Facility | 7251 E 49th Ave, Commerce City, CO 80022-4714 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336071 | Sobriety House, Inc. | Substance Abuse Rehabilitation Facility | 1368 Elizabeth St, Denver, CO 80206-2309 | 2020-11-06 |
| 1548874308 | Lotus Lodge, LLC | Substance Abuse Rehabilitation Facility | 206 Uvalda St, Aurora, CO 80011-8602 | 2020-08-31 |
| 1710591573 | Lotus Lodge Men, LLC | Substance Abuse Rehabilitation Facility | 16313 E 7th Dr, Aurora, CO 80011-4524 | 2020-08-31 |
| 1710509583 | Crossroads' Turning Points, Inc. | Substance Abuse Rehabilitation Facility | 1004 Carbon Place, Trinidad, CO 81082 | 2020-05-14 |
| 1538796156 | Rocky Mountain Detox, LLC | Substance Abuse Rehabilitation Facility | 1336 Pierce St, Lakewood, CO 80214-1939 | 2020-03-24 |
| 1215574413 | Healing Pines Recovery, LLC. | Substance Abuse Rehabilitation Facility | 5550 County Road 124, Elizabeth, CO 80107 | 2019-12-06 |
| 1790328607 | Gallus Detox Denver LLC | Substance Abuse Rehabilitation Facility | 5920 S Estes St Ste 150, Littleton, CO 80123-8620 | 2019-10-23 |
| 1114584232 | Scw Recovery LLC | Substance Abuse Rehabilitation Facility | 330 Fiedler Ave, Ste 103, Dillon, CO 80435 | 2019-05-23 |
| 1902462617 | Colorado West Regional Mental Health, Inc. | Substance Abuse Rehabilitation Facility | 2800 Riverside Pkwy Bldg 2, Grand Junction, CO 81501-4721 | 2019-05-17 |
| 1487122057 | Valiant Dtx, LLC | Substance Abuse Rehabilitation Facility | 2602 S Ensenada Way, Aurora, CO 80013-7690 | 2018-11-12 |
| Find all providers with the same taxonomy | ||||
| City | COMMERCE CITY |
| Zip Code | 80022 |
Please comment or provide details below to improve the information on STOUT STREET FOUNDATION.
| 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.