GRACE MOUNTAIN LLC (NPI# 1386254019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386254019 |
| Entity Type | Organization |
| Organization Name | GRACE MOUNTAIN LLC |
| Practice Address |
6030 Blue Ridge Dr Apt H Highlands Ranch CO 80130-3630 |
| Practice Telephone | 6024817244 |
| Mailing Telephone | 6024817244 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | CHRISTINA MARIE THOMSON (DIRECTOR) |
| Authorized Official Telephone | 6024817244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
6030 BLUE RIDGE DR APT H |
| City | HIGHLANDS RANCH |
| State | CO |
| Zip Code | 80130-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952650046 | Lynn Rickman | Lactation Consultant, Non-RN | 11060 Woodhurst Circle, Highlands Ranch, CO 80130 | 2012-09-05 |
| 1356610810 | Matthew Adam Peterson | Registered Nurse | 8565 S Poplar Way, Littleton, CO 80130 | 2011-12-29 |
| 1467755108 | Laurie Maxine Sands | Social Worker | 9870 S. Colorado Blvd, Suite A-10, Highlands Ranch, CO 80130 | 2010-12-20 |
| 1598095879 | Mary Kay Kennedy | Counselor | 2121 E Dad Clark Drive, Highlands Ranch, CO 80130 | 2010-01-08 |
| 1609052869 | Lacey Mashinter | Social Worker | 8671 South Quebec St, Ste 200, Highlands Ranch, CO 80130 | 2008-01-17 |
| 1063559334 | Beth Ballen | Psychiatry & Neurology | 8671 S. Quebec St., Ste 200, Highland Ranch, CO 80130 | 2007-01-30 |
| 1326133216 | Uhs of Denver, Inc. | Psychiatric Hospital | 8565 S. Poplar Way, Littleton, CO 80130 | 2006-10-04 |
| 1326074519 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 8673 S Quebec St, Highlands Ranch, CO 80130 | 2006-06-23 |
| 1437192671 | Charles Hazlehurst | Psychologist | 8565 South Poplar Way, Littleton, CO 80130 | 2006-06-14 |
| 1740279504 | Elizabeth Brooke Spencer | Radiology | 8671 S Quebec St Ste 200, Highlands Ranch, CO 80130 | 2005-10-14 |
| Find all providers in zip 80130 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093232100 | Square One Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4872 Bluegate Dr, Highlands Ranch, CO 80130-6601 | 2017-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203535 | Special Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2776 S Dunkirk Ct, Aurora, CO 80013-4744 | 2020-10-23 |
| 1083220750 | Liberty Residential LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 923 S Telluride St, Aurora, CO 80017-3346 | 2020-09-18 |
| 1598381766 | Hand and Heart Host Homes Agency | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 391 S Simms St, Lakewood, CO 80228-2905 | 2020-06-23 |
| 1750907135 | Bianca Alish Lott | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17827 E Mexico Dr, Aurora, CO 80017-5378 | 2020-06-22 |
| 1790300705 | Haset | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 855 S Kalispell Cir Unit 205, Aurora, CO 80017-2098 | 2020-06-15 |
| 1619599826 | Metro Hearts Host Homes Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1192 Sandpiper Ln, Brighton, CO 80601-7391 | 2020-05-11 |
| 1588283550 | Roots, Limited Liability Co. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 436 Purple Plum Ct, Fruita, CO 81521-6205 | 2020-04-10 |
| 1235760497 | Garden Neighbors, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2773 W Long Dr, Littleton, CO 80120-5531 | 2020-01-27 |
| 1386284461 | Integrated Life Choices | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7800 S Elati St Ste 111, Littleton, CO 80120-4400 | 2020-01-07 |
| 1558909366 | Integrating Supports Colorado, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 801 Englewood Pkwy Apt G105, Englewood, CO 80110-2396 | 2019-12-12 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLANDS RANCH |
| Zip Code | 80130 |
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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.