LIFE RECOVERY CENTER (NPI# 1629519715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629519715 |
| Entity Type | Organization |
| Organization Name | LIFE RECOVERY CENTER |
| Practice Address |
11658 Huron St Suite 400 Northglenn CO 80234-2919 |
| Mailing Address |
9028 Gale Blvd Unit 1 Thornton CO 80260-4939 |
| Practice Telephone | 3032524179 |
| Mailing Telephone | 7200440426 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | ALEX CASTRO (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3035254179 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | ========= | CO | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1740608959 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Life Recovery Center, inc. | 1017 South Boulder Rd. Ste G, Louisville, CO 80027 |
| Colorado Business Entities | Life Recovery Centers Inc | 10699 Melody Dr, 2nd Floor, Northglenn, CO 80234 |
| Street Address |
11658 HURON ST SUITE 400 |
| City | NORTHGLENN |
| State | CO |
| Zip Code | 80234-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679840318 | Stephanie Trzaska | Acupuncturist | 11658 Huron St, Suite 200, Northglenn, CO 80234-2919 | 2011-11-23 |
| 1164932265 | Laura Rivera | Counselor | 11658 Huron St, Northglenn, CO 80234-2919 | 2017-10-03 |
| 1891245601 | Community Counseling and Consulting Services | Community/Behavioral Health | 11658 Huron St, Suite 400, Northglenn, CO 80234-2919 | 2016-10-05 |
| 1376912139 | Lorie Palmer | Counselor | 11658 Huron St, Northglenn, CO 80234-2919 | 2015-09-22 |
| 1629343413 | Monaghan Psychotherapy Services Inc | Counselor | 11658 Huron St, Suite 400, Northglenn, CO 80234-2919 | 2012-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375115 | Jeanne Weintraub | Counselor | Griffith Centers for Children, 10465 Melody Dr Suite 325, Northglenn, CO 80234 | 2020-08-07 |
| 1992273916 | Physicians Wellness Associates Pllc | Family Medicine | 12213 Pecos Street, Suite 700, Westminster, CO 80234 | 2018-11-07 |
| 1114409638 | Selathia Chestnut | Behavior Technician | 11698 Huron St., #106, Northglenn, CO 80234 | 2018-08-30 |
| 1194271478 | Alyssa Cure | Occupational Therapist | 11160 Huron Street, Suite 200, Northglenn, CO 80234 | 2016-08-28 |
| 1316492911 | The Hearing & Tinnitus Center | Audiologist-Hearing Aid Fitter | 1001 W. 120th Ave Suite 214, Westminster, CO 80234 | 2016-08-24 |
| 1386005791 | Rachel T Kraut | Registered Nurse | 1401 W 122nd Ave Ste 200, Westminster, CO 80234 | 2016-03-11 |
| 1780064469 | Mountain View Dental Northgleen LLC | Dentist | 421 W. 104th Ave, Suite 201, Northglenn, CO 80234 | 2015-06-08 |
| 1770902876 | Lisa Lorenzen | Specialist | 12172 Melody Drive, Westminster, CO 80234 | 2014-04-16 |
| 1306279492 | Jennifer Nicole Dahlke | Speech-Language Pathologist | 12201 Pecos St., Suite 200, Westminster, CO 80234 | 2013-08-13 |
| 1336588490 | America's Best Contacts & Eyeglasses | Technician/Technologist | 521 W 104th Ave, Suite J, Northglenn, CO 80234 | 2013-06-21 |
| Find all providers in zip 80234 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578878476 | Community Reach Center | Preferred Provider Organization | 11285 Highline Dr, Northglenn, CO 80233-3076 | 2010-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727498 | Influence Healthcare, LLC | Preferred Provider Organization | 8580 Strawberry Ln, Niwot, CO 80503-7171 | 2020-10-09 |
| 1245718964 | Franchise Development Partners LLC | Preferred Provider Organization | 600 17th St Ste 2500, Denver, CO 80202-5414 | 2018-08-03 |
| 1851878631 | Front Range Health Partners, LLC | Preferred Provider Organization | 9101 Harlan St Unit 100, Westminster, CO 80031-2961 | 2018-07-24 |
| 1649787599 | Diabetes Wellness Solutions, LLC | Preferred Provider Organization | 23911 E Arapahoe Rd, Aurora, CO 80016-4120 | 2018-01-01 |
| 1285161760 | Kantor Dental Group Pllc | Preferred Provider Organization | 4760 W Mineral Ave Ste 60, Littleton, CO 80128-2540 | 2017-05-16 |
| 1750813697 | Nos Counseling, LLC | Preferred Provider Organization | 1776 S Jackson St Ste 704, Denver, CO 80210-3806 | 2017-03-30 |
| 1760832398 | Cope Family Dental | Preferred Provider Organization | 71 Erie Pkwy Unit 101, Erie, CO 80516-2520 | 2016-06-14 |
| 1093172462 | Fire Fly Autism | Preferred Provider Organization | 1332 6th St, Boulder, CO 80302-5801 | 2016-01-15 |
| 1669838710 | Life Untangled, LLC | Preferred Provider Organization | 330 W Main St Ste B, Sterling, CO 80751-3177 | 2016-01-05 |
| 1184097636 | Professional Sleep Services | Preferred Provider Organization | 962 White Hawk Ranch Dr, Boulder, CO 80303-1684 | 2015-11-05 |
| Find all providers with the same taxonomy | ||||
| City | NORTHGLENN |
| Zip Code | 80234 |
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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.