EAGLE'S NEST GROUP CENTER (NPI# 1447786454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447786454 |
Entity Type | Organization |
Organization Name | EAGLE'S NEST GROUP CENTER |
Practice Address |
93 Ranchettes Rd Bailey CO 80421-2051 |
Practice Telephone | 3038389900 |
Practice Fax Number | 3038389901 |
Mailing Telephone | 3038389900 |
Mailing Fax Number | 3038389901 |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |
Authorized Official Name | MELANIE KENNEDY (CEO) |
Authorized Official Telephone | 3038753238 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 84700238 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Eagle's Nest Group Center, LLC | 93 Ranchettes Rd., Bailey, CO 80421 |
Street Address |
93 RANCHETTES RD |
City | BAILEY |
State | CO |
Zip Code | 80421-2051 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205361755 | Melanie Kennedy | Day Training, Developmentally Disabled Services | 93 Ranchettes Rd, Bailey, CO 80421-2051 | 2017-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437709284 | American Medical Home Health Services - Denver LLC | Home Health | 47 El Lobo Ln, Bailey, CO 80421 | 2019-09-13 |
1992279384 | Jared Smith, Professional LLC | Dentist | 17 County Road 68, Bailey, CO 80421 | 2019-01-18 |
1245779537 | Exploring Inner Peace LLC | Social Worker | 60615 Us Hwy 285, Suite 206, Bailey, CO 80421 | 2017-02-20 |
1801343389 | Ryan Plourde | Social Worker | 460 County 43a, Suite 7, Bailey, CO 80421 | 2016-09-01 |
1912233156 | Charity A Morris | Counselor | 60615 South Hwy 285, Bailey, CO 80421 | 2009-10-22 |
1669639571 | Platte Canyon Rescue Service Inc | Ambulance | 153 Delwood Dr, Unit 2, Bailey, CO 80421 | 2008-05-19 |
1902094527 | Richard E Nichols | Dentist | 460 Park County Road 43, Crow Hill Family Dental, Bailey, CO 80421 | 2007-10-09 |
1144343567 | Dustin Ted Powell | Counselor | 60615 U.S. Highway 285, Bailey, CO 80421 | 2007-04-09 |
1013063411 | Park County School District 1 | Local Education Agency (LEA) | 57393 Us Highway 285, Bailey, CO 80421 | 2007-01-26 |
1326698622 | American Medical Hospice Care - Denver LLC | Hospice Care, Community Based | 47 El Lobo Ln, Bailey, CO 80421 | 2019-09-18 |
Find all providers in zip 80421 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700419488 | Hanna Cares, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6550 S Ider St, Aurora, CO 80016-1251 | 2020-02-20 |
1235760521 | A Safe Place In Pagosa, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 459 Lewis Street, Pagosa Springs, CO 81147 | 2020-01-27 |
1649836982 | Esther House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1051 Lima St, Aurora, CO 80010-3701 | 2019-05-13 |
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 |
1083106744 | Jon W. Baker Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3835 Mckay Rd, Colorado Springs, CO 80906-5707 | 2018-05-30 |
1710483714 | Lighthouse Residenital | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10200 W 44th Ave Ste 400b, Wheat Ridge, CO 80033-6826 | 2018-03-30 |
1952816795 | Sozo Sss International LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6324 S Sicily Way, Aurora, CO 80016-7009 | 2017-12-01 |
1457875999 | Sandra Douglas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3109 66th Ave, Greeley, CO 80634-8932 | 2017-07-26 |
1356876700 | Our Family Care Home Assisted Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1169 Johnson Street, Lakewood, CO 80215 | 2017-04-24 |
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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.