1780868224 NPI number — SPECIAL NEEDS NETWORK

Table of content: (NPI 1780868224)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780868224 NPI number — SPECIAL NEEDS NETWORK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPECIAL NEEDS NETWORK
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780868224
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/16/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6612 FIG ST UNIT 103
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARVADA
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80004-1027
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-403-9169
Provider Business Mailing Address Fax Number:
303-431-2766

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6612 FIG ST # 103
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARVADA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80004-1044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-403-9169
Provider Business Practice Location Address Fax Number:
303-431-2766
Provider Enumeration Date:
12/19/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FEAVEL
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
DOUGLAS
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
303-403-9169

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 335G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)