MESA DEVELOPMENTAL SERVICES (NPI# 1700449378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700449378 |
| Entity Type | Organization |
| Organization Name | MESA DEVELOPMENTAL SERVICES |
| Practice Address |
2746 Olson Ave Grand Junction CO 81503-2033 |
| Mailing Address |
790 Wellington Ave Grand Junction CO 81501-6126 |
| Practice Telephone | 9704245438 |
| Mailing Telephone | 9702433702 |
| Enumeration Date | 2019-04-18 |
| 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 |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| 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 |
| 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 |
| 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 |
2746 OLSON AVE |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81503-2033 |
| 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 | 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 |
|---|---|---|---|---|
| 1730742297 | Mesa Developmental Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 309 Kava Way, Grand Junction, CO 81503-3153 | 2019-04-19 |
| 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 |
| 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 |
| 1619408366 | Dd Squared Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1580 S Salida Way, Aurora, CO 80017-4210 | 2017-03-24 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81503 |
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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.