COMMUNITY ADVANTAGE, INC (NPI# 1881879856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881879856 |
Entity Type | Organization |
Organization Name | COMMUNITY ADVANTAGE, INC |
Practice Address |
1625 40th Street Ct Evans CO 80620-2432 |
Mailing Address |
9901 Linn Station Rd Louisville KY 40223-3808 |
Practice Telephone | 9703304794 |
Mailing Telephone | 8008660860 |
Enumeration Date | 2008-01-08 |
Last Update Date | 2016-11-03 |
Authorized Official Name | MS. MARY A PANK (PARALEGAL) |
Authorized Official Telephone | 5024202666 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 343900000X | Non-emergency Medical Transport (VAN) | CO | Transportation Services | |
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | CO | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 09147349 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184839664 | Community Advantage, Inc | Non-emergency Medical Transport (VAN) | 1551 S Sunset St, Longmont, CO 80501-6758 | 2007-05-10 |
1487869954 | Community Advantage, Inc | Day Training, Developmentally Disabled Services | 11990 Grant St Ste 550, Northglenn, CO 80233-1101 | 2007-05-10 |
1003021585 | Community Advantage, Inc | Non-emergency Medical Transport (VAN) | 1551 S Sunset St, Longmont, CO 80501-6758 | 2007-05-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | COMMUNITY ADVANTAGE, INC. | 805 N. Whittington Parkway, Suite 400, Louisville, KY 40222 |
Street Address |
1625 40TH STREET CT |
City | EVANS |
State | CO |
Zip Code | 80620-2432 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932734605 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd Ave, Evans, CO 80620 | 2020-03-03 |
1992040786 | Homefront Health and Occupational Medicine LLC | Preventive Medicine | 1705 32nd St., Evans, CO 80620 | 2012-12-05 |
1295980233 | Joshua Woodland | Optometrist | 3247 23rd Ave., (inside Sams Club), Evans, CO 80620 | 2008-11-18 |
1619125903 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3247 23rd Avenue, Evans, CO 80620 | 2008-08-29 |
1699300020 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd St, Evans, CO 80620 | 2020-03-05 |
1316430812 | Niki Avery Pediatric Pt LLC | Physical Therapist | 1050 37th St, Evans, CO 80620 | 2018-06-08 |
1336474584 | North Range Behavioral Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620 | 2009-10-06 |
1013548866 | Envision Creative Support for People With Developmental Disabilities | Respite Care | 1050 37th Street, Evans, CO 80620-0069 | 2020-01-30 |
1164424354 | Leonard Alexander Lowe Jr. | Emergency Medicine | 2930 11th Ave, Evans, CO 80620-1011 | 2005-06-01 |
1386250843 | North Range Behavioral Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2020-09-21 |
Find all providers in zip 80620 |
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 |
---|---|---|---|---|
1912074477 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4747 Rye Hill Ct, Evans, GA 30809-5849 | 2006-11-29 |
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 |
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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.