DEVELOPMENTAL DISABILITIES RESOURCE CENTER (NPI# 1851834592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851834592 |
| Entity Type | Organization |
| Organization Name | DEVELOPMENTAL DISABILITIES RESOURCE CENTER |
| Other Organization Name | INDEPENDENCE GROUP HOME |
| Practice Address |
3900 Independence Ct Wheat Ridge CO 80033-4110 |
| Mailing Address |
11177 W 8th Ave Suite 300 Lakewood CO 80215-5575 |
| Practice Telephone | 3032333363 |
| Mailing Telephone | 3032333363 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | ROBERT DEHERRERA (DEPUTY DIRECTOR AND CFO) |
| Authorized Official Telephone | 3034626511 |
| Authorized Official Credential | CPA, CGMA |
| 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 |
| Other Name | Type Code |
|---|---|
| Independence Group Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861936015 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 727 Miller Ct, Lakewood, CO 80215-5703 | 2016-12-07 |
| 1417491663 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2275 Nelson Pl, Lakewood, CO 80215-1340 | 2016-12-07 |
| 1649714957 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5741 W Cedar Ave, Lakewood, CO 80226-2306 | 2016-12-06 |
| 1285177931 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2205 Upham St, Lakewood, CO 80214-5833 | 2016-11-29 |
| 1174066815 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7564 W 83rd Ave, Arvada, CO 80003-1609 | 2016-11-29 |
| 1821531559 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2352 S Braun Way, Lakewood, CO 80228-4702 | 2016-11-29 |
| 1861935512 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2510 S Flower St, Lakewood, CO 80237 | 2016-11-29 |
| 1831632579 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2655 S Lamar Way, Lakewood, CO 80227-4034 | 2016-11-29 |
| 1760925499 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7198 W Cedar Ave, Lakewood, CO 80226-7327 | 2016-11-29 |
| 1447793195 | Developmental Disabilities Resource Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9515 Webster Way, Westminster, CO 80021-4801 | 2016-11-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | DEVELOPMENTAL DISABILITIES RESOURCE CENTER | 11177 W 8th Ave, Lakewood, CO 80215 |
| Street Address |
3900 INDEPENDENCE CT |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| 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 |
|---|---|---|---|---|
| 1093250706 | Developmental Opportunities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11590 W 39th Pl, Wheat Ridge, CO 80033-3857 | 2017-01-04 |
| 1265072342 | Integrated Life Choices | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7777 W 38th Ave Unit A120, Wheat Ridge, CO 80033-6170 | 2020-01-07 |
| 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 |
| 1386254019 | Grace Mountain LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6030 Blue Ridge Dr Apt H, Highlands Ranch, CO 80130-3630 | 2020-08-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
Please comment or provide details below to improve the information on DEVELOPMENTAL DISABILITIES RESOURCE CENTER.
| 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.