MESA DEVELOPMENTAL SERVICES (NPI# 1427611086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427611086 |
| Entity Type | Organization |
| Organization Name | MESA DEVELOPMENTAL SERVICES |
| Other Organization Name | STRIVE |
| Practice Address |
2865 Victoria Dr Grand Junction CO 81503-2162 |
| Mailing Address |
790 Wellington Ave Grand Junction CO 81501-6126 |
| Practice Telephone | 9704245440 |
| Mailing Telephone | 9702433702 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | CHRISTOPHER BRANDON BERGQUIST (CEO) |
| Authorized Official Telephone | 9702568603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 90000115470 | 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 |
| 1306409867 | Mesa Developmental Services | Day Training, Developmentally Disabled Services | 508 Fruitvale Ct, Grand Junction, CO 81504-4423 | 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 |
2865 VICTORIA DR |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81503-2162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821544537 | Diana D Conner | Homemaker | 2780 Uranium Drive, Grand Junction, CO 81503 | 2016-09-01 |
| 1760804074 | Chelsee Bergin | Dental Hygienist | 2748 1/2 B Road, Grand Junction, CO 81503 | 2014-01-07 |
| 1750587077 | Sam Lem Hean | Assisted Living Facility | 174 Edlum Road, Grand Junction, CO 81503 | 2007-06-24 |
| 1841235835 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 2770 Highway 50, Grand Junction, CO 81503 | 2006-06-17 |
| 1376592303 | Stephen L Johnson | Dentist | 2249 Broadway, Grand Junction, CO 81503 | 2006-05-08 |
| 1366589681 | All Care Pilgrim Home LLC | Assisted Living Facility | 2194 Mckinley Dr, Grand Junction, CO 81503-1139 | 2007-01-30 |
| 1225200058 | Monument Assisted Living | Assisted Living Facility | 2194 Mckinley Dr, Grand Junction, CO 81503-1139 | 2008-04-01 |
| 1316129414 | Helen K Leonard | Pharmacist | 2342 Promontory Ct, Grand Junction, CO 81503-1483 | 2007-11-30 |
| 1972556561 | Fruita Family Medicine Pllc | Family Medicine | 2330 E Alcove Dr, Grand Junction, CO 81503-1485 | 2006-05-18 |
| 1982779427 | Cheryl Marie Koubeck | Social Worker | 377 S Redlands Rd, Grand Junction, CO 81503-1768 | 2006-11-21 |
| Find all providers in zip 81503 | ||||
| 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 |
|---|---|---|---|---|
| 1225679988 | Lov Adl's Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 482 Teco Ct, Grand Junction, CO 81504-5858 | 2019-10-03 |
| 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 |
| 1871156331 | Mesa Developmental Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 790 Wellington Ave, Grand Junction, CO 81501-6126 | 2019-04-19 |
| 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 | ||||
| City | GRAND JUNCTION |
| Zip Code | 81503 |
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.