CONSTITUTION ROAD HEALTHCARE, INC. (NPI# 1740708429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740708429 |
| Entity Type | Organization |
| Organization Name | CONSTITUTION ROAD HEALTHCARE, INC. |
| Other Organization Name | JULIA TEMPLE OUTPATIENT SERVICES |
| Practice Address |
3401 S Lafayette St Englewood CO 80113-2926 |
| Mailing Address |
27101 Puerta Real Ste 450 Mission Viejo CA 92691-8566 |
| Practice Telephone | 3037610075 |
| Practice Fax Number | 3037612967 |
| Mailing Telephone | 9495401249 |
| Mailing Fax Number | 9495401966 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-09-29 |
| Authorized Official Name | SOON BURNAM (TREASURER) |
| Authorized Official Telephone | 9495401249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Julia Temple Outpatient Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496599 | Constitution Road Healthcare, Inc. | Clinic/Center | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2020-01-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CONSTITUTION ROAD HEALTHCARE, INC. | 29222 Rancho Viejo Rd. Suite 127, San Juan Capistrano, CA 92675 |
| Street Address |
3401 S LAFAYETTE ST |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80113-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386623189 | American Housing Foundation I | Skilled Nursing Facility | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2006-01-11 |
| 1407496599 | Constitution Road Healthcare, Inc. | Clinic/Center | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2020-01-07 |
| 1831750777 | Andrew Davie | Physical Therapist | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2019-06-21 |
| 1255991436 | Patrick Teuton | Physical Therapist | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2019-06-19 |
| 1366962102 | Chateau Julia Healthcare, Inc. | Respite Care | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2017-06-22 |
| 1588107858 | Kendra Ruzicka | Physical Therapy Assistant | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2016-11-18 |
| 1871036145 | Beth Ruhland | Occupational Therapist | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2016-11-18 |
| 1225465313 | Jessica Lynn Marquardt | Occupational Therapist | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2013-10-03 |
| 1770925232 | Brian C Rupert | Specialist | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2013-07-25 |
| 1174809321 | Brandi Trujillo | Specialist | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2011-11-01 |
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|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1518489178 | High Five Home Care LLC. | In Home Supportive Care | 4055 S Broadway, Suite #102, Englewood, CO 80113 | 2017-07-14 |
| 1720518426 | Chelsea M Bega | Audiologist | 3439 S Lincoln St, Englewood, CO 80113 | 2017-06-14 |
| 1689110272 | Mary Frances Mckinley | Physical Therapy Assistant | 3460 S Downing Street, Englewood, CO 80113 | 2017-01-06 |
| 1295190585 | Kassandra Dominique Hill | Nurse's Aide | 3301 S Whaington St, Apt.109, Englewood, CO 80113 | 2015-12-31 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1669807392 | Jill C Tomaso | Occupational Therapist | 3218 South Logan Street, Englewood, CO 80113 | 2013-09-12 |
| 1255683868 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3495 S University Blvd, Englewood, CO 80113 | 2012-10-05 |
| 1700137825 | Stanley Leon Hannah | General Practice | 5 Martin Lane, Cherry Hills Village, CO 80113 | 2012-09-28 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| Find all providers in zip 80113 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498016 | Therapy Center of Englewood,llc | Clinic/Center | 180 N Dean St, Ste 1, Englewood, NJ 07631-2534 | 2005-06-22 |
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| 1871963561 | Helping Hands Therapy, LLC | Clinic/Center | 5720 Eldora Dr., Colorado Springs, CO 80918-1708 | 2015-10-07 |
| 1942465943 | Colorado Speech Therapy Services | Clinic/Center | 21521 E Powers Cir N, Centennial, CO 80015-3365 | 2008-07-20 |
| 1073535118 | Front Range Therapy Systems, Inc. | Clinic/Center | 802 W Drake Rd, Suite 133, Fort Collins, CO 80526-5567 | 2006-07-25 |
| 1306400502 | Shalom Cares Wellness Center, LLC | Clinic/Center | 14800 E Belleview Dr, Aurora, CO 80015-2258 | 2019-04-24 |
| 1790259349 | Colavria Therapy Services, Inc. | Clinic/Center | 6447 Quail St, Arvada, CO 80004-2600 | 2019-01-16 |
| 1093203747 | Mile High Healthcare, Inc. | Clinic/Center | 1601 Lowell Blvd, Denver, CO 80204-1545 | 2018-04-27 |
| 1487989935 | Optimum Health Center, LLC | Clinic/Center | 1809 N Circle Dr, Colorado Springs, CO 80909-2410 | 2009-10-15 |
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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.