MESA DEVELOPMENTAL SERVICES (NPI# 1306409867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306409867 |
| Entity Type | Organization |
| Organization Name | MESA DEVELOPMENTAL SERVICES |
| Practice Address |
508 Fruitvale Ct Grand Junction CO 81504-4423 |
| Mailing Address |
790 Wellington Ave Grand Junction CO 81501-6126 |
| Practice Telephone | 9702568671 |
| Mailing Telephone | 9702433702 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | CHRISTOPHER BRANDON BERGQUIST (CFO) |
| Authorized Official Telephone | 9702568603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 56180071 | 05 |
| Other Name | Type Code |
|---|---|
| Strive | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113146 | Mesa Developmental Services | Case Management | 2445 N 8th St, Grand Junction, CO 81501-8191 | 2020-01-13 |
| 1730742297 | Mesa Developmental Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 309 Kava Way, Grand Junction, CO 81503-3153 | 2019-04-19 |
| 1013570571 | Mesa Developmental Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3301 Laurel Ln, Clifton, CO 81520-8123 | 2019-04-19 |
| 1215590773 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2404 Teller Ave, Grand Junction, CO 81501-5142 | 2019-04-19 |
| 1851954317 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2441 Belford Ave, Grand Junction, CO 81501-5131 | 2019-04-19 |
| 1164085726 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2850 Chipeta Ave, Grand Junction, CO 81501-5176 | 2019-04-19 |
| 1427611086 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2865 Victoria Dr, Grand Junction, CO 81503-2162 | 2019-04-19 |
| 1043873649 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 680 29 1/2 Rd, Grand Junction, CO 81504-5278 | 2019-04-18 |
| 1700449378 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2746 Olson Ave, Grand Junction, CO 81503-2033 | 2019-04-18 |
| 1083177315 | Mesa Developmental Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1444 N 23rd St, Grand Junction, CO 81501-6546 | 2019-04-12 |
| Street Address |
508 FRUITVALE CT |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81504-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699226936 | Ariel Kristine Rendt Padron | Counselor | 639 Long Peak Ct, Grand Junction, CO 81504 | 2016-10-21 |
| 1902197460 | Bereket Yebiyo | Pharmacist | 2992 F Rd., Grand Junction, CO 81504 | 2011-05-02 |
| 1467636787 | Renae Tabin | Physician Assistant | 569 32 Rd Ste 12, Grand Junction, CO 81504 | 2007-12-21 |
| 1689892069 | Mark Newhouse | Physical Therapist | 2777 Crossroads Blvd, Grand Junction, CO 81504 | 2007-04-23 |
| 1841414570 | Deborah Ann Didonato | Registered Nurse | 510 29 .5 Rd, Grand Junction, CO 81504 | 2007-04-12 |
| 1073634952 | Darilynn Sue Maddux | Technician | 510 29.5, Grand Junction, CO 81504 | 2007-04-02 |
| 1538289749 | Shirley Callaway | Registered Nurse | 510 29. 5 Road, Grand Junction, CO 81504 | 2007-03-30 |
| 1407891328 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 569 32 Rd, Grand Junction, CO 81504 | 2006-06-17 |
| 1275536146 | Mesa County Health Department | Registered Nurse | 510 29 1/2 Road, Grand Junction, CO 81504 | 2005-05-24 |
| 1104275882 | Marillac Clinic, Inc | Clinic/Center | 510 29 1/2 Rd, Grand Junction, CO 81504 | 2016-06-03 |
| Find all providers in zip 81504 | ||||
| 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 |
|---|---|---|---|---|
| 1215590773 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2404 Teller Ave, Grand Junction, CO 81501-5142 | 2019-04-19 |
| 1851954317 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2441 Belford Ave, Grand Junction, CO 81501-5131 | 2019-04-19 |
| 1164085726 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2850 Chipeta Ave, Grand Junction, CO 81501-5176 | 2019-04-19 |
| 1427611086 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2865 Victoria Dr, Grand Junction, CO 81503-2162 | 2019-04-19 |
| 1043873649 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 680 29 1/2 Rd, Grand Junction, CO 81504-5278 | 2019-04-18 |
| 1700449378 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 2746 Olson Ave, Grand Junction, CO 81503-2033 | 2019-04-18 |
| 1144771643 | A Better Life Experience Inc. | Day Training, Developmentally Disabled Services | 2764 Compass Dr # 150, Grand Junction, CO 81506-8722 | 2016-10-19 |
| 1386954576 | Plateau Support Services | Day Training, Developmentally Disabled Services | 518 28 Road, Suite A-104, Grand Junction, CO 81501 | 2010-10-21 |
| 1760605398 | Mosaic | Day Training, Developmentally Disabled Services | 2456 Industrial Ave, Grand Junction, CO 81505-1315 | 2007-04-11 |
| 1679696439 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 790 Wellington Ave, Grand Junction, CO 81501-6126 | 2007-04-09 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81504 |
Please comment or provide details below to improve the information on MESA DEVELOPMENTAL SERVICES.
| 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.