JEFFERSON HILLS CORPORATION


Address: 1290 S Potomac St, Aurora, CO 80012-4524
Phone: 3037451281

JEFFERSON HILLS CORPORATION (NPI# 1760500557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760500557
Entity Type Organization
Organization Name JEFFERSON HILLS CORPORATION
Other Organization Name JEFFERSON HILLS LAKEWOOD
Practice Address 1290 S Potomac St
Aurora
CO 80012-4524
Practice Telephone 3037451281
Practice Fax Number 3036712854
Mailing Telephone 3037451281
Mailing Fax Number 3036712854
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 12284 CO Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 61786861 05

Other Provider/Organization Names

Other Name Type Code
Jefferson Hills Lakewood Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548388325 Jefferson Hills Corporation Residential Treatment Facility, Emotionally Disturbed Children 421 Zang St, Lakewood, CO 80228-1052 2007-03-27

Office Location

Street Address 1290 S POTOMAC ST
City AURORA
State CO
Zip Code 80012-4524

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871192930 Aurora Comprehensive Community Mental Health Center Inc Substance Abuse Rehabilitation Facility 1290 S Potomac St, Aurora, CO 80012-4524 2020-10-20
1588261762 Aurora Comprehensive Community Mental Health Center Substance Abuse Rehabilitation Facility 1290 S Potomac St, Aurora, CO 80012-4524 2020-10-01
1760099659 Devrey Ann Martin Student in an Organized Health Care Education/Training Program 1290 S Potomac St, Aurora, CO 80012-4524 2020-09-25
1356967012 Emily Otero Case Manager/Care Coordinator 1290 S Potomac St, Aurora, CO 80012-4524 2020-06-18
1598398323 Victoria N/a Awuah Student in an Organized Health Care Education/Training Program 1290 S Potomac St, Aurora, CO 80012-4524 2020-02-20
1841855004 Paul Geroge-edgar Baesel Student in an Organized Health Care Education/Training Program 1290 S Potomac St, Aurora, CO 80012-4524 2019-05-03
1134783921 Severin Hubka Case Manager/Care Coordinator 1290 S Potomac St, Aurora, CO 80012-4524 2019-04-26
1447814314 Rodolfo Garza IIi Case Manager/Care Coordinator 1290 S Potomac St, Aurora, CO 80012-4524 2019-04-26
1831652437 Justin Turnage Case Manager/Care Coordinator 1290 S Potomac St, Aurora, CO 80012-4524 2019-04-10
1659834257 John Richmond Counselor 1290 S Potomac St, Aurora, CO 80012-4524 2019-04-10
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407873342 Excelsior Youth Centers, Inc. Residential Treatment Facility, Emotionally Disturbed Children 15001 E Oxford Ave, Aurora, CO 80014-4186 2006-07-16
1790753275 Center for Family Services Residential Treatment Facility, Emotionally Disturbed Children 2255 Church Rd, Aurora, IL 60502-8741 2006-03-09
1861946147 Lisa Post Residential Treatment Facility, Emotionally Disturbed Children 15001 E Oxford Ave, Aurora, CO 80014-4186 2016-08-04
1366823858 David Peterson Jr. Residential Treatment Facility, Emotionally Disturbed Children 1290 S Potomac St, Aurora, CO 80012-4524 2015-06-10
1649574617 Excelsior Youth Center Inc Residential Treatment Facility, Emotionally Disturbed Children 15001 E Oxford Ave, Aurora, CO 80014-4186 2011-01-05

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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
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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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Competitor

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City AURORA
Zip Code 80012

Improve Information

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Dataset Information

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.

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