EAGLESNEST GROUP CENTER (NPI# 1609045350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609045350 |
| Entity Type | Organization |
| Organization Name | EAGLESNEST GROUP CENTER |
| Practice Address |
1149 Dick Mountain Dr Bailey CO 80421-2097 |
| Practice Telephone | 3038382468 |
| Practice Fax Number | 3038382478 |
| Mailing Telephone | 3038382468 |
| Mailing Fax Number | 3038382478 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | MELANIE VIRGINIA KENNEDY (ADMINISTRATOT) |
| Authorized Official Telephone | 3038382468 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 1544800 | CO | Residential Treatment Facilities |
| Street Address |
1149 DICK MOUNTAIN DR |
| City | BAILEY |
| State | CO |
| Zip Code | 80421-2097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437709284 | American Medical Home Health Services - Denver LLC | Home Health | 47 El Lobo Ln, Bailey, CO 80421 | 2019-09-13 |
| 1992279384 | Jared Smith, Professional LLC | Dentist | 17 County Road 68, Bailey, CO 80421 | 2019-01-18 |
| 1245779537 | Exploring Inner Peace LLC | Social Worker | 60615 Us Hwy 285, Suite 206, Bailey, CO 80421 | 2017-02-20 |
| 1801343389 | Ryan Plourde | Social Worker | 460 County 43a, Suite 7, Bailey, CO 80421 | 2016-09-01 |
| 1912233156 | Charity A Morris | Counselor | 60615 South Hwy 285, Bailey, CO 80421 | 2009-10-22 |
| 1669639571 | Platte Canyon Rescue Service Inc | Ambulance | 153 Delwood Dr, Unit 2, Bailey, CO 80421 | 2008-05-19 |
| 1902094527 | Richard E Nichols | Dentist | 460 Park County Road 43, Crow Hill Family Dental, Bailey, CO 80421 | 2007-10-09 |
| 1144343567 | Dustin Ted Powell | Counselor | 60615 U.S. Highway 285, Bailey, CO 80421 | 2007-04-09 |
| 1013063411 | Park County School District 1 | Local Education Agency (LEA) | 57393 Us Highway 285, Bailey, CO 80421 | 2007-01-26 |
| 1326698622 | American Medical Hospice Care - Denver LLC | Hospice Care, Community Based | 47 El Lobo Ln, Bailey, CO 80421 | 2019-09-18 |
| Find all providers in zip 80421 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265953541 | J.l. Family Partnership, LLC | Residential Treatment Facility, Physical Disabilities | 11165 E Alameda Ave Apt 207, Aurora, CO 80012-6477 | 2017-06-27 |
| 1871965459 | Thomas E. Campbell Construction Group LLC | Residential Treatment Facility, Physical Disabilities | 605 S Clinton St, 8a, Denver, CO 80247-1586 | 2015-10-22 |
| 1992905236 | Apen Glen Inc. | Residential Treatment Facility, Physical Disabilities | 448 Bookcliff Dr, Grand Junction, CO 81501-2039 | 2007-07-24 |
| 1194931857 | Grand View Care Lodge | Residential Treatment Facility, Physical Disabilities | 647 Round Hill Dr, Grand Junction, CO 81506-1438 | 2007-05-16 |
| 1093168478 | Stanley L. Rapaport, M.d. | Residential Treatment Facility, Physical Disabilities | 3920 E San Miguel St, Suite 129, Colorado Springs, CO 80909-3427 | 2016-07-20 |
| 1093108730 | Ronald Van Hill | Residential Treatment Facility, Physical Disabilities | 500 Geneva St, Aurora, CO 80010-4305 | 2015-03-05 |
| 1174815617 | Eatin Therapeutic Center | Residential Treatment Facility, Physical Disabilities | 123 Elm Ave, Eaton, CO 80615-3425 | 2011-05-03 |
| 1235443821 | Schevaun W Hegarty | Residential Treatment Facility, Physical Disabilities | 5000 E Arapahoe Rd, Centennial, CO 80122-2302 | 2010-08-05 |
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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.