COMMUNITY OUTREACH, INC. (NPI# 1861973570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861973570 |
| Entity Type | Organization |
| Organization Name | COMMUNITY OUTREACH, INC. |
| Practice Address |
805 S Tejon St Colorado Springs CO 80903-4148 |
| Practice Telephone | 7195781227 |
| Practice Fax Number | 7195781322 |
| Mailing Telephone | 7195781227 |
| Mailing Fax Number | 7195781322 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | TINA RAE SIMPSON (BOOKKEEPER/HR) |
| Authorized Official Telephone | 7195781227 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | COMMUNITY OUTREACH, INC. | 805 South Tejon Street, Colorado Springs, CO 80903 |
| Oregon Corporations, Companies and Business Names | COMMUNITY OUTREACH, INC. | 865 Nw Reiman, Corvallis, OR 97330 |
| Street Address |
805 S TEJON ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437632940 | Common Roots LLC | Respite Care | 805 S Tejon St, Colorado Springs, CO 80903-4148 | 2018-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| 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 |
|---|---|---|---|---|
| 1639631237 | Van Ness Day Program LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1430 N Hancock Ave, Colorado Springs, CO 80903-2621 | 2019-04-02 |
| 1427273036 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1785 N Academy Blvd, Suite 127, Colorado Springs, CO 80909-2734 | 2007-04-17 |
| 1801436985 | Integrated Life Choices | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5630 N Academy Blvd, Colorado Springs, CO 80918-3659 | 2020-01-07 |
| 1942714795 | Your Choice Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2259 Falkirk Dr, Colorado Springs, CO 80910-3266 | 2017-11-30 |
| 1417172024 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1785 N Academy Blvd, Suite 127, Colorado Springs, CO 80909-2734 | 2007-04-17 |
| 1326263930 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1785 N Academy Blvd, Suite 127, Colorado Springs, CO 80909-2734 | 2007-04-17 |
| 1235354846 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1785 N Academy Blvd, Suite 127, Colorado Springs, CO 80909-2734 | 2007-04-17 |
| 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 | COLORADO SPRINGS |
| Zip Code | 80903 |
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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.