KOKUA CO LLC (NPI# 1164998506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164998506 |
| Entity Type | Organization |
| Organization Name | KOKUA CO LLC |
| Practice Address |
5401 W 9th St Greeley CO 80634-4431 |
| Practice Telephone | 8773025022 |
| Mailing Telephone | 8773025022 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Authorized Official Name | BRIANA SEVERINE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5626182319 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Street Address |
5401 W 9TH ST |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526504 | Red Mountain Colorado, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5401 W 9th St, Greeley, CO 80634-4431 | 2019-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659777852 | Karan Steuart | Substance Abuse Rehabilitation Facility | 3660 W Princeton Cir, Denver, CO 80236-3109 | 2014-11-15 |
| 1811241151 | Fire Mountain Residential Treatment Center, Inc. | Substance Abuse Rehabilitation Facility | 5532 Us Highway 36, Estes Park, CO 80517-8834 | 2012-11-08 |
| 1528292521 | Judy M Lansing | Substance Abuse Rehabilitation Facility | 296 Mouache Dr., Ignacio, CO 81137-0429 | 2009-05-06 |
| 1376940528 | Peer 1 | Substance Abuse Rehabilitation Facility | 3762 W Princeton Cir, Denver, CO 80236-3110 | 2014-12-02 |
| 1235542358 | Nicole Nees | Substance Abuse Rehabilitation Facility | 614 Mathews St, Fort Collins, CO 80524-3012 | 2014-06-05 |
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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.