INTERMOUNTAIN COMMUNITY SUPPORT AND SERVICES, LLC (NPI# 1992078216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992078216 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN COMMUNITY SUPPORT AND SERVICES, LLC |
| Other Organization Name | ICSS |
| Practice Address |
12818 Newport Way Thornton CO 80602-6955 |
| Practice Telephone | 3038853299 |
| Practice Fax Number | 7202429089 |
| Mailing Telephone | 3038853299 |
| Mailing Fax Number | 7202429089 |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |
| Authorized Official Name | JEREMY ROBERT LANG (CO-OWNER) |
| Authorized Official Telephone | 3038853299 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | CO | Agencies |
| Other Name | Type Code |
|---|---|
| ICSS | Doing Business As Name - Organization |
| Street Address |
12818 NEWPORT WAY |
| City | THORNTON |
| State | CO |
| Zip Code | 80602-6955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736810 | Advanced Heart and Vein Center Inc | Internal Medicine | 805 E 144th Avenue, Suite 100, Thornton, CO 80602 | 2020-10-06 |
| 1427521509 | Kids Mile High Thornton Pllc | Dentist | 7375 E. 128th Ave, Thornton, CO 80602 | 2019-01-10 |
| 1336637701 | Rachel Paige Bruening | Behavior Technician | 13443 Tamarac Pl, Thornton, CO 80602 | 2018-05-01 |
| 1053865758 | Mckay Stott Pearson | Dentist | 3662 E 141st Pl, Thornton, CO 80602 | 2016-08-10 |
| 1902265382 | Colorado Dental Professionals, LLC | Dentist | 12889 Quebec Street, Thornton, CO 80602 | 2016-02-15 |
| 1851788384 | Cheryl Ann Kirkland | Technician | 7523 E 130th Cir., Thornton, CO 80602 | 2015-04-22 |
| 1467722405 | Christie Lynn Kraeger | Social Worker | 2717 E 139th Place, Thornton, CO 80602 | 2012-01-09 |
| 1457635328 | Bindu Kurien | Pharmacist | 13611 N.colorado Blvd, Thornton, CO 80602 | 2011-10-10 |
| 1891092664 | Catholic Health Initiatives Colorado | Family Medicine | 13691 Colorado Blvd., Suite 106, Thornton, CO 80602 | 2011-02-14 |
| 1740401306 | Lori Louise Ross | Speech-Language Pathologist | 13844 Jackson Street, Thornton, CO 80602 | 2007-05-01 |
| Find all providers in zip 80602 | ||||
| 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 |
|---|---|---|---|---|
| 1407453947 | Linda May Thomas-ware | Day Training, Developmentally Disabled Services | 8959 Colorado Blvd Apt 104, Thornton, CO 80229-4094 | 2020-10-07 |
| 1164062907 | Patricia Kabot | Day Training, Developmentally Disabled Services | 1660 Ruth Dr, Thornton, CO 80229-3668 | 2020-01-09 |
| 1891296224 | Discovery Avenues L.L.C. | Day Training, Developmentally Disabled Services | 300 Russell Blvd Apt F9, Thornton, CO 80229 | 2018-02-21 |
| 1376085662 | Pinnacle Care Homes LLC | Day Training, Developmentally Disabled Services | 3581 E 100th Ct, Thornton, CO 80229-3549 | 2016-11-17 |
| 1942752738 | North Metro Community Services, Inc. | Day Training, Developmentally Disabled Services | 2655 E 94th Dr, Thornton, CO 80229-3905 | 2016-10-27 |
| 1063814168 | Adnan Daniel Shafeeq | Day Training, Developmentally Disabled Services | 10174 Saint Paul Dr, Thornton, CO 80229-2772 | 2014-09-19 |
| 1043850779 | Vocational Journey LLC | Day Training, Developmentally Disabled Services | 1660 Ruth Dr, Thornton, CO 80229-3668 | 2020-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818719 | Mike's Place LLC | Day Training, Developmentally Disabled Services | 325 Garfield Avenue, Carbondale, CO 81623 | 2020-10-14 |
| 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 |
| 1013532027 | Limelight Support Services LLC | Day Training, Developmentally Disabled Services | 20732 Scenic Park Dr, Parker, CO 80138-3175 | 2020-06-15 |
| 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.