JEFFERSON HILLS CORPORATION (NPI# 1548388325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548388325 |
| Entity Type | Organization |
| Organization Name | JEFFERSON HILLS CORPORATION |
| Other Organization Name | JEFFERSON HILLS LAKEWOOD |
| Practice Address |
421 Zang St Lakewood CO 80228-1052 |
| Practice Telephone | 3039894357 |
| Practice Fax Number | 3039882017 |
| Mailing Telephone | 3039894357 |
| Mailing Fax Number | 3039882017 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-12-22 |
| Authorized Official Name | CHRISTINE ELLIS (CONTROLLER) |
| Authorized Official Telephone | 3039693822 |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFERSON HILLS CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 88459 | CO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 92138845 | 05 |
| Other Name | Type Code |
|---|---|
| Jefferson Hills Lakewood | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760500557 | Jefferson Hills Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1290 S Potomac St, Aurora, CO 80012-4524 | 2007-03-27 |
| Street Address |
421 ZANG ST |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831217702 | Tamara Schneiderman | Counselor | 421 Zang St, Lakewood, CO 80228-1052 | 2007-03-27 |
| 1568953024 | Emily Cunningham | Social Worker | 421 Zang St, Lakewood, CO 80228-1052 | 2018-05-21 |
| 1043729734 | Sarah Jean Hansen | Counselor | 421 Zang St, Lakewood, CO 80228-1052 | 2017-09-25 |
| 1780102525 | Lisa Michelle Goodwin-kutchey | Counselor | 421 Zang St, Lakewood, CO 80228-1052 | 2017-08-31 |
| 1598200537 | Dawn Scott | Counselor | 421 Zang St, Lakewood, CO 80228-1052 | 2016-12-29 |
| 1407307515 | Tracey Newman | Registered Nurse | 421 Zang St, Lakewood, CO 80228-1052 | 2016-10-24 |
| 1336693282 | Cathi Vigil | Counselor | 421 Zang St, Lakewood, CO 80228-1052 | 2016-08-09 |
| 1033570387 | Scott Fitzgerald | Registered Nurse | 421 Zang St, Lakewood, CO 80228-1052 | 2016-03-15 |
| 1891167474 | Ryan Busalacchi | Registered Nurse | 421 Zang St, Lakewood, CO 80228-1052 | 2015-10-22 |
| 1437534922 | Stephanie Denise Ruelas-bloder | Registered Nurse | 421 Zang St, Lakewood, CO 80228-1052 | 2015-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831722933 | Rocky Mountain Kids | Residential Treatment Facility, Emotionally Disturbed Children | 65 Diamond E Rd, Fountain, CO 80817-3325 | 2020-02-17 |
| 1902439003 | Rocky Mountain Kids | Residential Treatment Facility, Emotionally Disturbed Children | 2810 Hunters Glen Rd, Monument, CO 80132-9704 | 2020-02-17 |
| 1306479407 | Rocky Mountain Kids | Residential Treatment Facility, Emotionally Disturbed Children | 3101 Palmer Park Blvd, Colorado Springs, CO 80909-3120 | 2020-02-17 |
| 1689206401 | Rocky Mountain Kids | Residential Treatment Facility, Emotionally Disturbed Children | 2129 N Nevada Ave, Colorado Springs, CO 80907-6916 | 2020-02-10 |
| 1164998506 | Kokua Co LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5401 W 9th St, Greeley, CO 80634-4431 | 2018-10-23 |
| 1851824213 | Rite of Passage, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1590 12th St, Alamosa, CO 81101-3701 | 2017-04-04 |
| 1962935379 | Rite of Passage Inc | Residential Treatment Facility, Emotionally Disturbed Children | 8810 Highway 103, Idaho Springs, CO 80452-9623 | 2017-04-04 |
| 1801349105 | Shiloh Home Inc | Residential Treatment Facility, Emotionally Disturbed Children | 9700 E Easter Lane, Centennial, CO 80112 | 2016-08-03 |
| 1588971204 | Shiloh Home Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8461 Delaware St, Thornton, CO 80260-4821 | 2010-09-01 |
| 1225263593 | Third Way Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9100 E Lowry Blvd, Lowry Sprout, Denver, CO 80230-6935 | 2009-05-15 |
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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.