GOLDEN PEAK RECOVERY (NPI# 1831673763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831673763 |
| Entity Type | Organization |
| Organization Name | GOLDEN PEAK RECOVERY |
| Other Organization Name | GOLDEN PEAK RECOVERY |
| Practice Address |
4411 E Kentucky Ave Glendale CO 80246-2009 |
| Mailing Address |
1515 Nw 167th St Ste 300 Miami Gardens FL 33169-5106 |
| Practice Telephone | 8556948619 |
| Practice Fax Number | 3059307437 |
| Mailing Telephone | 7869233376 |
| Mailing Fax Number | 7869307437 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | MR. ROBERT NIZNIK (CEO) |
| Authorized Official Telephone | 8556948619 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | COLORADO DEPARTMENT OF HUMAN SERVICES | 2080-01 | 01 |
| Other Name | Type Code |
|---|---|
| Golden Peak Recovery | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2300 S Balsam Ln, Lakewood, CO 802273162 | 8556948619 | 7869307437 |
| 2305 S Fenton Dr, Lakewood, CO 802273975 | 8556948619 | 7869307437 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Golden Peak Recovery Inc. | 4411 E Kentucky Ave, Glendale, CO 80246 |
| Street Address |
4411 E KENTUCKY AVE |
| City | GLENDALE |
| State | CO |
| Zip Code | 80246-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083805253 | Deanne Lynn Phillips | Nurse Practitioner | 4411 E Kentucky Ave, #106, Glendale, CO 80246-2009 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872377 | Anisha M Boggiano | Occupational Therapy Assistant | 4500 S Cherry Creek Dr, Suite 710, Denver, CO 80246 | 2019-07-08 |
| 1558824961 | Whitney Lynn Frisch | Licensed Practical Nurse | 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 | 2019-04-11 |
| 1952865834 | Toni Qualantone | Counselor | 720 S Colorado Blvd., North Tower Penthouse, Suite 1353n, Denver, CO 80246 | 2019-01-25 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1689160194 | Alexia Bounkhong | Optometrist | 850 S Dahlia Circle, Apt F105, Denver, CO 80246 | 2018-07-09 |
| 1811494214 | Freedom Career Services LLC | Case Manager/Care Coordinator | 5300 E Cherry Creek South Dr Apt 522, Denver, CO 80246 | 2018-04-11 |
| 1801398094 | Megan Reynolds | Counselor | 1017 S. Birch St., B106, Glendale, CO 80246 | 2018-03-02 |
| 1295242014 | Seth Cameron Bender | Counselor | 720 S. Colorado Blvd., North Penthouse Tower, Suite 1353n, Denver, CO 80246 | 2018-01-02 |
| 1679093991 | Jeffery Washington | Counselor | 1066 S. Dahlia St. E32, Denver, CO 80246 | 2017-06-27 |
| 1013457795 | Jeff Johnston Dds PC | Dentist | 4500 East Cherry Creek Dr South, 100, Denver, CO 80246 | 2017-03-01 |
| Find all providers in zip 80246 | ||||
| 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 |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1891312047 | Healing and Recovery Welness Center | Substance Abuse Rehabilitation Facility | 6034 San Fernando Rd, Glendale, CA 91202-2721 | 2020-07-02 |
| 1548882467 | Helping Hands Realty | Substance Abuse Rehabilitation Facility | 4813 W Belmont Ave, Glendale, AZ 85301-1523 | 2020-05-13 |
| 1851821417 | Right On Programs Inc | Substance Abuse Rehabilitation Facility | 522 E Broadway Ste 101, Glendale, CA 91205-1185 | 2017-06-15 |
| 1487072351 | Terros, Inc. | Substance Abuse Rehabilitation Facility | 5801 N 51st Ave, Glendale, AZ 85301-6057 | 2014-03-28 |
| 1275768947 | Fresh Start Community Services | Substance Abuse Rehabilitation Facility | 7206 N 55th Ave, Suite 101, Glendale, AZ 85301-1975 | 2009-05-23 |
| 1437346517 | Northwest Organization for Voluntary Alternatives | Substance Abuse Rehabilitation Facility | 5801 North 51st Avenue Suite 109, Glendale, AZ 85301 | 2007-10-02 |
| 1841816402 | Jewel City Treatment Center | Substance Abuse Rehabilitation Facility | 501 E Harvard St Unit A, Glendale, CA 91205-1114 | 2020-06-19 |
| 1245886415 | Crossroads, Inc Pure Heart Counseling Center | Substance Abuse Rehabilitation Facility | 14240 N 43rd Ave, Glendale, AZ 85306-4511 | 2019-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336071 | Sobriety House, Inc. | Substance Abuse Rehabilitation Facility | 1368 Elizabeth St, Denver, CO 80206-2309 | 2020-11-06 |
| 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 |
| 1538796156 | Rocky Mountain Detox, LLC | Substance Abuse Rehabilitation Facility | 1336 Pierce St, Lakewood, CO 80214-1939 | 2020-03-24 |
| 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 |
| 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.