National Provider Identifier Database

CARMEL COMMUNITY LIVING CORPORATION
Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.


Contact Information

CARMEL COMMUNITY LIVING CORPORATION
11177 W 8TH AVE STE 220
LAKEWOOD, CO80215-5520
Phone: 720-496-2605
Fax: 720-458-1665
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X
Day Training, Developmentally Disabled Services 251C00000X
In Home Supportive Care 253Z00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X
Respite Care 385H00000X

* Indicates primary specialty

NPI Profile & details for CARMEL COMMUNITY LIVING CORPORATION

NPI Number 1598887804
Legal business name
LBN
CARMEL COMMUNITY LIVING CORPORATION
Authorized official JENNIFER KELLY - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 04/06/2007
Last updated 03/28/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 04B477
  • CO Medicaid: 9000141122

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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