ROCKY MOUNTAIN DETOX, LLC (NPI# 1538796156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538796156 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN DETOX, LLC |
| Practice Address |
1336 Pierce St Lakewood CO 80214-1939 |
| Mailing Address |
1348 Pierce St Lakewood CO 80214-1939 |
| Practice Telephone | 4807071968 |
| Mailing Telephone | 4807071968 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | SPENCER LITMAN (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 4807071968 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1348 Pierce St, Lakewood, CO 802141939 | 4807071968 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Rocky Mountain Detox, LLC | 6613 N Scottsdale Road, Suite 200, Scottsdale, AZ 85250 |
| Street Address |
1336 PIERCE ST |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80214-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266128 | Audra Perez | Social Worker | 1750 Pierce Street Suite C, Lakewood, CO 80214 | 2019-07-08 |
| 1508347758 | Robin Noel Mackin | Speech-Language Pathologist | 2401 Lamar Street, Edgewater, CO 80214 | 2018-08-26 |
| 1932636065 | Tamika Thomas | Counselor | 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 | 2017-05-19 |
| 1902353568 | Holly Carpenter | Counselor | 1410 Vance St, Lakewood, CO 80214 | 2016-09-01 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
| 1265879498 | Diana M Arvizo | Occupational Therapy Assistant | 1685 Eaton St., Lakewood, CO 80214 | 2013-05-29 |
| 1528332731 | Jennifer Anderson | Physical Therapist | 5354 W 25th Ave, Edgewater, CO 80214 | 2012-03-06 |
| Find all providers in zip 80214 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215468038 | Lean In Recovery Center | Substance Abuse Rehabilitation Facility | 18615 Detroit Ave, Ste #207, Lakewood, OH 44107-3274 | 2017-03-23 |
| 1265895361 | Catholic Charities Corporation | Substance Abuse Rehabilitation Facility | 1635 Alameda Ave, Lakewood, OH 44107-4934 | 2016-04-05 |
| 1336584705 | Community Care Inc. | Substance Abuse Rehabilitation Facility | 525 E County Line Rd Ste 4, Lakewood, NJ 08701-1405 | 2013-04-30 |
| 1730206202 | Metropolitan Development Council | Substance Abuse Rehabilitation Facility | 10510 Gravelly Lake Dr Sw, Suite 210, Lakewood, WA 98499-5036 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1548874308 | Lotus Lodge, LLC | Substance Abuse Rehabilitation Facility | 206 Uvalda St, Aurora, CO 80011-8602 | 2020-08-31 |
| 1710591573 | Lotus Lodge Men, LLC | Substance Abuse Rehabilitation Facility | 16313 E 7th Dr, Aurora, CO 80011-4524 | 2020-08-31 |
| 1710509583 | Crossroads' Turning Points, Inc. | Substance Abuse Rehabilitation Facility | 1004 Carbon Place, Trinidad, CO 81082 | 2020-05-14 |
| 1215574413 | Healing Pines Recovery, LLC. | Substance Abuse Rehabilitation Facility | 5550 County Road 124, Elizabeth, CO 80107 | 2019-12-06 |
| 1790328607 | Gallus Detox Denver LLC | Substance Abuse Rehabilitation Facility | 5920 S Estes St Ste 150, Littleton, CO 80123-8620 | 2019-10-23 |
| 1114584232 | Scw Recovery LLC | Substance Abuse Rehabilitation Facility | 330 Fiedler Ave, Ste 103, Dillon, CO 80435 | 2019-05-23 |
| 1902462617 | Colorado West Regional Mental Health, Inc. | Substance Abuse Rehabilitation Facility | 2800 Riverside Pkwy Bldg 2, Grand Junction, CO 81501-4721 | 2019-05-17 |
| 1487122057 | Valiant Dtx, LLC | Substance Abuse Rehabilitation Facility | 2602 S Ensenada Way, Aurora, CO 80013-7690 | 2018-11-12 |
| 1609352186 | Mountain Springs Recovery LLC | Substance Abuse Rehabilitation Facility | 1865 Woodmoor Dr, Monument, CO 80132 | 2018-07-17 |
| 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.