ALPHA RESTORATION, LLC (NPI# 1770137010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770137010 |
| Entity Type | Organization |
| Organization Name | ALPHA RESTORATION, LLC |
| Practice Address |
1320 Michelle Ct Apt S Colorado Springs CO 80916-1908 |
| Mailing Address |
Po Box 15344 Colorado Spgs CO 80935-5344 |
| Practice Telephone | 3038835767 |
| Mailing Telephone | 3038835767 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | BRENDAN MOOREHEAD (DIRECTOR) |
| Authorized Official Telephone | 3038835767 |
| Authorized Official Credential | BA, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Alpha Restoration, LLC | 1320 Michelle Court, Unit S, Colorado Springs, CO 80916 |
| Street Address |
1320 MICHELLE CT APT S |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80916-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742022 | Andrea Corrie Akins | Counselor | 2060 Jet Wing Drive, Colorado Springs, CO 80916 | 2019-04-04 |
| 1538687454 | Loma Randie Haak | Doula | 2160 Bruno Cir, Colorado Springs, CO 80916 | 2017-08-30 |
| 1013463868 | Statewide Healthcare LLC | In Home Supportive Care | 2130 S. Academy Blvd., #103, Colorado Springs, CO 80916 | 2016-08-31 |
| 1437573557 | Carla Jackson | Contractor | 3410 Cochran Dr # C, Colorado Springs, CO 80916 | 2014-02-10 |
| 1346385986 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 2322 S. Academy Blvd., Colorado Springs, CO 80916 | 2007-02-21 |
| 1457379893 | Charlene Kay Czarnecki | Nurse Practitioner | 3029 So Academy Blvd, Colorodo Springs, CO 80916 | 2006-07-17 |
| 1952337206 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 2910 S Academy Blvd, Colorado Springs, CO 80916 | 2006-06-25 |
| 1629599758 | Amanda M Bernheim | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916 | 2017-06-28 |
| 1710366166 | Cassandra Bright | Dental Hygienist | 5925 Lehman Dr, Colorado Springs, CO 80916 | 2015-05-19 |
| 1992042626 | Erica Palmer | Psychologist | 1795 Jet Wing Dr, Colorado Springs, CO 80916 | 2013-01-15 |
| Find all providers in zip 80916 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| 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 |
|---|---|---|---|---|
| 1700062981 | Sean C Odonnell | Point of Service | 629 N Nevada Ave, Suite 110, Colorado Springs, CO 80903-1040 | 2008-01-17 |
| 1982074142 | Serene Dental Hygiene | Point of Service | 7770 N Union Blvd, Suite A, Colorado Springs, CO 80920-4087 | 2015-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829520 | 4 Winds / 5 Elements Counseling and Healing Arts Pllc | Point of Service | 2201 Kipling St Ste 204, Lakewood, CO 80215-1545 | 2020-04-05 |
| 1952953515 | Mary Brown | Point of Service | 2673 Del Mar Dr, Grand Junction, CO 81506-1721 | 2019-07-14 |
| 1285168583 | State of Colorado | Point of Service | 1575 Sherman Street, Cdhs, Denver, CO 80203 | 2017-04-13 |
| 1902339963 | Hti2, LLC Dba Pearle Vision Loveland | Point of Service | 1391 Sculptor Dr., Loveland, CO 80537 | 2017-04-06 |
| 1386196665 | Colorado Department of Corrections | Point of Service | 49030 State Hwy 71, Limon, CO 80826-0001 | 2016-11-02 |
| 1861941130 | Erx Consulting | Point of Service | 6133 E Mineral Dr, Centennial, CO 80112-3009 | 2016-09-28 |
| 1104287176 | Allfocus Holding LLC | Point of Service | 11015 Hill Gail Ct, Parker, CO 80138-7246 | 2016-03-17 |
| 1013377274 | Colorado Assisted Living Homes | Point of Service | 5596 W Indore Dr, Littleton, CO 80128-7030 | 2016-03-02 |
| 1104286376 | Colorado Assisted Living Homes | Point of Service | 7456 S Kendall Blvd, Littleton, CO 80128-4682 | 2016-03-02 |
| 1487014916 | Senior Living At The Pinery LLC | Point of Service | 6875 N Windview Cir, Parker, CO 80134-6337 | 2016-02-25 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80916 |
Please comment or provide details below to improve the information on ALPHA RESTORATION, LLC.
| 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.