THE WOLF PACK RESIDENTIAL AND DAY PROGRAM SERVICES CORP. (NPI# 1235624511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235624511 |
| Entity Type | Organization |
| Organization Name | THE WOLF PACK RESIDENTIAL AND DAY PROGRAM SERVICES CORP. |
| Practice Address |
1512 W 12th St Loveland CO 80537-4435 |
| Practice Telephone | 9702784097 |
| Mailing Telephone | 9702784097 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | MR. CHARLES DAVID PLATZ (CHAIRMAN OF THE BOARD) |
| Authorized Official Telephone | 9702784097 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
1512 W 12TH ST |
| City | LOVELAND |
| State | CO |
| Zip Code | 80537-4435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972161073 | Schaeffer Therapy, LLC | Marriage & Family Therapist | 585 North Lincoln Avenue, 571, Loveland, CO 80537 | 2019-06-04 |
| 1447729132 | Mountainside Counseling, Pllc | Clinic/Center | 1380 Denve Ave., Loveland, CO 80537 | 2018-11-26 |
| 1629582945 | Katheryn D Sierocki | Spec/Tech, Health Info | 3918 Joni Ln, Loveland, CO 80537 | 2017-11-22 |
| 1902339963 | Hti2, LLC Dba Pearle Vision Loveland | Point of Service | 1391 Sculptor Dr., Loveland, CO 80537 | 2017-04-06 |
| 1407391980 | Whitney Grigsby | Behavior Technician | 5323 Cedar Valley Drive, Loveland, CO 80537 | 2016-12-20 |
| 1770026940 | Mh Health Care Services, PC | Nurse Practitioner | 1632 Topaz Lane, C/o of City of Loveland Health Center, Loveland, CO 80537 | 2016-11-21 |
| 1417324443 | Erica Hawks | Speech-Language Pathologist | 241 Lori Dr, Loveland, CO 80537 | 2015-08-25 |
| 1356749485 | Traci-ann Seana Reynolds | Dental Hygienist | 1135 N. Lincoln Ave, Suite 4, Loveland, CO 80537 | 2014-12-05 |
| 1215342274 | Charles Lee Simmons Jr. | Counselor | 1905 W 8th St Ste 202, Loveland, CO 80537 | 2014-06-27 |
| 1376979716 | Ariel Friese | Counselor | 832 W Eisenhower Blvd Ste B1, Loveland, CO 80537 | 2013-09-17 |
| Find all providers in zip 80537 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225509201 | Mbbk Consulting Inc. | Day Training, Developmentally Disabled Services | 4115 Georgetown Drive, Loveland, CO 80538 | 2018-12-17 |
| 1831638634 | Easter Seals Colorado Wings | Day Training, Developmentally Disabled Services | 1656 Topaz Dr, Loveland, CO 80537-3210 | 2017-02-14 |
| 1194278374 | Larry Richardson | Day Training, Developmentally Disabled Services | 2866 Empire Ave, Loveland, CO 80538-3001 | 2016-07-25 |
| 1467802355 | Susan Roussos | Day Training, Developmentally Disabled Services | 2980 Sanford Cir, Loveland, CO 80538-4924 | 2016-06-21 |
| 1336513712 | John R Teumer | Day Training, Developmentally Disabled Services | 5100 Otero Ave, Loveland, CO 80538-9103 | 2015-11-22 |
| 1255637021 | Offering Assistance To The Specially Impaired Society | Day Training, Developmentally Disabled Services | 735 14th St Se Apt 308, Loveland, CO 80537-8967 | 2011-01-27 |
| 1487192225 | Jrt Services LLC | Day Training, Developmentally Disabled Services | 5100 Otero Ave, Loveland, CO 80538-9103 | 2017-01-31 |
| 1033660808 | Nick's Hope, LLC | Day Training, Developmentally Disabled Services | 2980 Sanford Cir, Loveland, CO 80538-4924 | 2016-10-17 |
| 1548714470 | Abacus Care LLC | Day Training, Developmentally Disabled Services | 2866 Empire Ave, Loveland, CO 80538-3001 | 2016-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818719 | Mike's Place LLC | Day Training, Developmentally Disabled Services | 325 Garfield Avenue, Carbondale, CO 81623 | 2020-10-14 |
| 1407453947 | Linda May Thomas-ware | Day Training, Developmentally Disabled Services | 8959 Colorado Blvd Apt 104, Thornton, CO 80229-4094 | 2020-10-07 |
| 1942814579 | Summit Supports LLC | Day Training, Developmentally Disabled Services | 735 Cristo Ln, Lafayette, CO 80026-1734 | 2020-09-01 |
| 1912519695 | Destiny Care | Day Training, Developmentally Disabled Services | 2172 S Trenton Way Apt 1-203, Denver, CO 80231-5380 | 2020-08-23 |
| 1083225726 | Asap- Alternative Solutions Assisting People LLC | Day Training, Developmentally Disabled Services | 21812 E Berry Ln, Centennial, CO 80015-6445 | 2020-08-16 |
| 1487264578 | Parker Personal Care Homes, Inc. | Day Training, Developmentally Disabled Services | 14001 E Iliff Ave Ste 204, Aurora, CO 80014-1425 | 2020-08-04 |
| 1013526656 | Kp Supports LLC | Day Training, Developmentally Disabled Services | 20477 Robins Dr, Denver, CO 80249-8587 | 2020-07-29 |
| 1356950679 | Bethel Agency | Day Training, Developmentally Disabled Services | 998 S Zeno Way, Aurora, CO 80017-3329 | 2020-07-23 |
| 1689292823 | Treeline Pass | Day Training, Developmentally Disabled Services | 1280 Vine St, Denver, CO 80206-2912 | 2020-07-13 |
| 1013534015 | Ithrive Support Services 'llc' | Day Training, Developmentally Disabled Services | 2800 W 103rd Ave Apt 1321, Federal Heights, CO 80260-8601 | 2020-06-25 |
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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.