1699953463 NPI number — CHRISTIAN LIVING NEIGHBORHOODS

Table of content: (NPI 1699953463)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699953463 NPI number — CHRISTIAN LIVING NEIGHBORHOODS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRISTIAN LIVING NEIGHBORHOODS
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:
6
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:
1699953463
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/12/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9570 S KINGSTON CT STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ENGLEWOOD
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80112-6004
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-974-3900
Provider Business Mailing Address Fax Number:
720-974-3593

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5590 E PEAKVIEW AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CENTENNIAL
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80121-3573
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-266-5888
Provider Business Practice Location Address Fax Number:
720-684-4555
Provider Enumeration Date:
02/04/2008

Additional Information

Authorized Official

Authorized Official Last Name:
DENBRABER
Authorized Official First Name:
LISA
Authorized Official Middle Name:
B
Authorized Official Title or Position:
LEAD BILLING SPECIALIST
Authorized Official Telephone Number:
720-974-3900

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com