DEVELOPMENTAL DISABILITIES CENTER (NPI# 1871613141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871613141 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL DISABILITIES CENTER |
| Other Organization Name | IMAGINE |
| Practice Address |
5421 Western Ave Boulder CO 80301-2708 |
| Mailing Address |
1400 Dixon St Lafayette CO 80026-2790 |
| Practice Telephone | 3038174437 |
| Mailing Telephone | 3036657789 |
| Mailing Fax Number | 3036652648 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2016-10-28 |
| Authorized Official Name | MR. JOHN B NEVINS (CFO) |
| Authorized Official Telephone | 3036657789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 09145780 | 05 |
| Other Name | Type Code |
|---|---|
| IMAGINE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104378868 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 1608 Otis Dr, Longmont, CO 80504-1765 | 2016-10-28 |
| 1326590084 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 1806 Iris Ave, Boulder, CO 80304-2235 | 2016-10-28 |
| 1710439468 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 435 Manhattan Dr, Boulder, CO 80303-4104 | 2016-10-28 |
| 1568914224 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 15536 W Santa Fe Dr, Broomfield, CO 80023-6206 | 2016-10-28 |
| 1689126476 | Developmental Disabilities Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4500 7th St, Boulder, CO 80304-4394 | 2016-10-27 |
| 1508086794 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 1665 Coal Creek Dr, Lafayette, CO 80026-2784 | 2007-04-27 |
| 1962522235 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 1960 Ken Pratt Blvd Ste D, Longmont, CO 80503-6045 | 2007-03-30 |
| 1831236009 | Developmental Disabilities Center | Case Management | 1400 Dixon St, Lafayette, CO 80026-2790 | 2007-01-30 |
| 1174532204 | Developmental Disabilities Center | Psychologist | 1400 Dixon Avenue, Lafayette, CO 80026-2790 | 2006-08-07 |
| 1164052841 | Developmental Disabilities Center | Case Management | 1400 Dixon Ave, Lafayette, CO 80026-2790 | 2020-01-22 |
| Street Address |
5421 WESTERN AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376023614 | Wonder Years. LLC | Day Training, Developmentally Disabled Services | 3140 19th St, Boulder, CO 80304-2723 | 2018-08-16 |
| 1326590084 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 1806 Iris Ave, Boulder, CO 80304-2235 | 2016-10-28 |
| 1710439468 | Developmental Disabilities Center | Day Training, Developmentally Disabled Services | 435 Manhattan Dr, Boulder, CO 80303-4104 | 2016-10-28 |
| 1285181651 | Edh Support Company | Day Training, Developmentally Disabled Services | 1215 Cedar Ave, 201, Boulder, CO 80304-3157 | 2016-09-02 |
| 1285094805 | Tc's Community | Day Training, Developmentally Disabled Services | 965 Morgan Dr, Boulder, Boulder, CO 80303-2614 | 2016-02-24 |
| 1982800389 | James Keller LLC | Day Training, Developmentally Disabled Services | 3565 28th St, 203, Boulder, CO 80301-1577 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818719 | Mike's Place LLC | Day Training, Developmentally Disabled Services | 325 Garfield Avenue, Carbondale, CO 81623 | 2020-10-14 |
| 1407453947 | Linda May Thomas-ware | Day Training, Developmentally Disabled Services | 8959 Colorado Blvd Apt 104, Thornton, CO 80229-4094 | 2020-10-07 |
| 1942814579 | Summit Supports LLC | Day Training, Developmentally Disabled Services | 735 Cristo Ln, Lafayette, CO 80026-1734 | 2020-09-01 |
| 1912519695 | Destiny Care | Day Training, Developmentally Disabled Services | 2172 S Trenton Way Apt 1-203, Denver, CO 80231-5380 | 2020-08-23 |
| 1083225726 | Asap- Alternative Solutions Assisting People LLC | Day Training, Developmentally Disabled Services | 21812 E Berry Ln, Centennial, CO 80015-6445 | 2020-08-16 |
| 1487264578 | Parker Personal Care Homes, Inc. | Day Training, Developmentally Disabled Services | 14001 E Iliff Ave Ste 204, Aurora, CO 80014-1425 | 2020-08-04 |
| 1013526656 | Kp Supports LLC | Day Training, Developmentally Disabled Services | 20477 Robins Dr, Denver, CO 80249-8587 | 2020-07-29 |
| 1356950679 | Bethel Agency | Day Training, Developmentally Disabled Services | 998 S Zeno Way, Aurora, CO 80017-3329 | 2020-07-23 |
| 1689292823 | Treeline Pass | Day Training, Developmentally Disabled Services | 1280 Vine St, Denver, CO 80206-2912 | 2020-07-13 |
| 1013534015 | Ithrive Support Services 'llc' | Day Training, Developmentally Disabled Services | 2800 W 103rd Ave Apt 1321, Federal Heights, CO 80260-8601 | 2020-06-25 |
| 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.