INN BETWEEN (NPI# 1174765366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174765366 |
| Entity Type | Organization |
| Organization Name | INN BETWEEN |
| Other Organization Name | JEFFERSON CENTER FOR MENTAL HEALTH |
| Practice Address |
10295 W Keene Ave Denver CO 80235-1104 |
| Mailing Address |
4851 Independence St Wheat Ridge CO 80033-6715 |
| Practice Telephone | 3034250300 |
| Practice Fax Number | 3034325073 |
| Mailing Telephone | 3034325012 |
| Mailing Fax Number | 3034325073 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | DAVID A GOFF (CFO) |
| Authorized Official Telephone | 3034325164 |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFERSON CENTER FOR MENTAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
150413 | CO | Ambulatory Health Care Facilities |
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02953048 | 05 |
| Other Name | Type Code |
|---|---|
| Jefferson Center for Mental Health | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INN BETWEEN OF LONGMONT, INC., THE | 515 Kimbark St Ste 107, Longmont, CO 80501-5549 |
| Oregon Corporations, Companies and Business Names | INN BETWEEN SHELTER AND EVALUATION CENTER, INC. | 618 Se J St, Grants Pass, OR 97526 |
| Oregon Corporations, Companies and Business Names | INN BETWEEN STEAKHOUSE | 67858 E Highway 26, Welches, OR 97067 |
| Street Address |
10295 W KEENE AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80235-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861786592 | Tomasita L Trujillo | Counselor | 10295 W Keene Ave, Denver, CO 80235-1104 | 2011-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295244051 | Nicole Gan | Behavioral Analyst | 7220w. Jefferson Ave Suite 202, Lakewood, CA 80235 | 2017-09-25 |
| 1336684059 | Preferred Homecare Infusion, LLC | Durable Medical Equipment & Medical Supplies | 6900 W Jefferson Ave Ste 130, Lakewood, CO 80235 | 2017-01-04 |
| 1457501637 | Patrick John Rydell | Speech-Language Pathologist | 3636 S. Independence St., Lakewood, CO 80235 | 2008-09-24 |
| 1164631644 | Carole M. Emanuel | Dentist | 7373 West Jefferson Ave., Suite #304, Lakewood, CO 80235 | 2007-05-22 |
| 1235259680 | Christopher David Elson | Dentist | 7373 W. Jefferson Ave #403, Lakewood, CO 80235 | 2007-03-30 |
| 1750420840 | Kelly Z Crim | Counselor | 3900 S. Wadsworth Blvd Suite 360, Lakewood, CO 80235 | 2007-02-05 |
| 1750469714 | Paul Henry Arendt | Dentist | 7373 W Jefferson Ave #304, Lakewood, CO 80235 | 2006-11-01 |
| 1750491544 | Sharon Diane Hilderbrant | Psychologist | 7220 W Jefferson Ave, Suite 307, Lakewood, CO 80235 | 2006-08-30 |
| 1346766466 | Jayden Brooke Cornejo | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235 | 2017-08-21 |
| 1114478575 | Brennan Bonati | Dentist | 7373 W Jefferson Ave, Lakewood, CO 80235 | 2016-10-20 |
| Find all providers in zip 80235 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520925 | Apex Assisted Living LLC | Assisted Living Facility | 3071 S Rosemary St, Denver, CO 80231-4186 | 2020-05-26 |
| 1144855594 | Jerusalem Assisted Living Facility | Assisted Living Facility | 4783 Chandler Ct, Denver, CO 80239-4933 | 2020-03-05 |
| 1891330445 | Mitch B. Corporation | Assisted Living Facility | 3289 Grove St, Denver, CO 80211-3286 | 2019-11-07 |
| 1215402391 | Jeffrey Allen Kraft | Assisted Living Facility | 8330 Clarkson St, Denver, CO 80229-5435 | 2018-10-04 |
| 1639603376 | Bellaire House Assisgted Living | Assisted Living Facility | 4301 Martin Luther King Blvd, Denver, CO 80207-1826 | 2017-04-19 |
| 1285086496 | Chi Living Communities | Assisted Living Facility | 2825 W 32nd Ave, Denver, CO 80211-3225 | 2016-07-12 |
| 1144680489 | Sue-daniel, Inc | Assisted Living Facility | 2801 W 33rd Ave, Denver, CO 80211-3231 | 2016-02-29 |
| 1851750806 | Serene Assisted Living | Assisted Living Facility | 2640 S Jersey St, Denver, CO 80222-6322 | 2016-02-18 |
| 1730544594 | Scs Assisted Living Denver Inc | Assisted Living Facility | 941 S Fulton St, Denver, CO 80247 | 2015-12-22 |
| 1386019677 | Ty's House | Assisted Living Facility | 5050 Troy St, Denver, CO 80239-4338 | 2015-12-11 |
| Find all providers in DENVER | ||||
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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.