DEVELOPMENTAL DISABILITIES RESOURCE CENTER (NPI# 1174066815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174066815 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL DISABILITIES RESOURCE CENTER |
| Other Organization Name | BROOK GROUP HOME |
| Practice Address |
7564 W 83rd Ave Arvada CO 80003-1609 |
| Mailing Address |
11177 W 8th Ave Suite 300 Lakewood CO 80215-5575 |
| Practice Telephone | 3032333363 |
| Mailing Telephone | 3032333363 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | ROBERT DEHERRERA (DEPUTY DIRECTOR AND CFO) |
| Authorized Official Telephone | 3034626511 |
| Authorized Official Credential | CPA, CGMA |
| 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 |
| Other Name | Type Code |
|---|---|
| Brook Group Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861936015 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 727 Miller Ct, Lakewood, CO 80215-5703 | 2016-12-07 |
| 1417491663 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2275 Nelson Pl, Lakewood, CO 80215-1340 | 2016-12-07 |
| 1649714957 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5741 W Cedar Ave, Lakewood, CO 80226-2306 | 2016-12-06 |
| 1285177931 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2205 Upham St, Lakewood, CO 80214-5833 | 2016-11-29 |
| 1821531559 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2352 S Braun Way, Lakewood, CO 80228-4702 | 2016-11-29 |
| 1861935512 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2510 S Flower St, Lakewood, CO 80237 | 2016-11-29 |
| 1831632579 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2655 S Lamar Way, Lakewood, CO 80227-4034 | 2016-11-29 |
| 1760925499 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7198 W Cedar Ave, Lakewood, CO 80226-7327 | 2016-11-29 |
| 1447793195 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9515 Webster Way, Westminster, CO 80021-4801 | 2016-11-29 |
| 1851834592 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3900 Independence Ct, Wheat Ridge, CO 80033-4110 | 2016-11-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | DEVELOPMENTAL DISABILITIES RESOURCE CENTER | 11177 W 8th Ave, Lakewood, CO 80215 |
| Street Address |
7564 W 83RD AVE |
| City | ARVADA |
| State | CO |
| Zip Code | 80003-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625581 | Kymber Janelle Stephenson | Dietitian, Registered | 8120 Sheridan Blvd., Building C, Suite C-315, Westminister, CO 80003 | 2020-06-30 |
| 1023631330 | William Gaub | Counselor | 7585 W. 66th Ave, Bldg C, Arvada, CO 80003 | 2020-05-20 |
| 1396214607 | Ana M. Sandoval | Licensed Practical Nurse | 6303 Wadsworth Bypass, Suite 100, Arvada, CO 80003 | 2018-11-15 |
| 1740799386 | Spirit of Knightingale Home Care LLC | In Home Supportive Care | 6120 West 70th Avenue, Arvada, CO 80003 | 2017-09-27 |
| 1063931640 | Above and Beyond Enterprises | Respite Care | 6432 West 78th Ave., Arvada, CO 80003 | 2017-09-14 |
| 1194246058 | Ascent Medical LLC | Psychiatry & Neurology | 5375 W 73rd Place, Westminster, CO 80003 | 2017-06-30 |
| 1952853772 | Metro Community Provider Network, Inc. | Clinic/Center | 6303 Wadsworth Bypas, Arvada, CO 80003 | 2016-10-27 |
| 1003296765 | Carrie Mirfield | Massage Therapist | 8725 Wadsworth Blvd., Ste A, Arvada, CO 80003 | 2015-06-08 |
| 1831595073 | Steven Maya | Counselor | 6455 Sheridan Blvd., #236, Arvada, CO 80003 | 2014-11-17 |
| 1912300476 | Christine Renee Bowles | Counselor | 8120 Sheridan Blvd, Building C, Suite 310, Building C, Suite 310, Westminster, CO 80003 | 2014-09-29 |
| Find all providers in zip 80003 | ||||
| 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 |
|---|---|---|---|---|
| 1598206013 | Developmental Opportunities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11491 W 60th Ave, Arvada, CO 80004-4403 | 2017-03-16 |
| 1457474553 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10949 W 62nd Pl, Arvada, CO 80004-4523 | 2007-04-06 |
| 1497308670 | Leslie Pottebaum | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16155 W 74th Dr, Arvada, CO 80007-7828 | 2019-07-17 |
| 1134642952 | Leslie Pottebaum | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16155 W 74th Dr, Arvada, CO 80007-7828 | 2017-07-24 |
| 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 | ||||
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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.