SUMMIT SUPPORTS LLC (NPI# 1942814579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942814579 |
| Entity Type | Organization |
| Organization Name | SUMMIT SUPPORTS LLC |
| Practice Address |
735 Cristo Ln Lafayette CO 80026-1734 |
| Practice Telephone | 3035626227 |
| Mailing Telephone | 3035626227 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | NATASIA MAXWELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3035626227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Summit Supports LLC | 735 Cristo Lane, Lafayette, CO 80026 |
| Street Address |
735 CRISTO LN |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| 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 |
|---|---|---|---|---|
| 1558895144 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Statesville Quarry Road, Lafayette, NJ 07848 | 2017-04-20 |
| 1861878894 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 61 Beaver Run Road, Lafayette, NJ 07848 | 2015-07-31 |
| 1821473471 | Broadstep Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 84 Valley View Road, Lafayette, NJ 07848 | 2015-07-24 |
| 1487034567 | Scarc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 Valcourt Dr, Lafayette, NJ 07848-4624 | 2015-06-04 |
| 1285014357 | Scarc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Pelletown Rd, Lafayette, NJ 07848-3156 | 2015-06-04 |
| 1740660729 | Scarc, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 240 Warbasse Junction Rd, Lafayette, NJ 07848-4406 | 2015-06-04 |
| 1972854925 | Arc of Acadiana, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Guidry St, Lafayette, LA 70501-8738 | 2012-09-29 |
| 1114250255 | Bedside Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2900 Moss St Ste B, Lafayette, LA 70501-1268 | 2009-09-08 |
| 1639327992 | Bedside Homecare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1602 W Pinhook Rd Ste 209, Lafayette, LA 70508-3735 | 2008-08-28 |
| 1154453140 | Aguillard & Associates, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 707 Cedar Crest Ct, Lafayette, LA 70501-5525 | 2007-03-12 |
| Find all providers in LAFAYETTE | ||||
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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.