MEDICARE: BOLDNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1134070105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOLDNESS LLC

Provider Business Mailing Address
First Line	:	9748 DANUBE CT
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-2415
Country	:	US
Telephone Number	:	720-728-9327
Fax Number	:

Provider Business Practice Location Address
First Line	:	9748 DANUBE CT
Second Line	:
City	:	COMMERCE CITY
State	:	CO
Zip	:	80022-2415
Country	:	US
Telephone Number	:	720-728-9327
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/OWNER
Name	:	MEDETINA ADAGBA
Credential	:
Telephone Number	:	720-728-9327

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

Similar Medicare Providers

1760930325 — WELLSPRING HEALTH - ORANGE CITY, LLC
Practice Location Address:

2415 S VOLUSIA AVE STE A2
ORANGE CITY, FL
32763-7623

Practice Phone: 386-775-6879
Practice Fax: 386-775-0307

1730153511 — SSM HEALTH BUSINESSES
Practice Location Address:

601 NW 11TH ST STE 200
OKLAHOMA CITY, OK
73103-2415

Practice Phone: 405-231-1200
Practice Fax: 405-231-1222

1295799971 — MR. NATHAN JOHN SLAUGHTER DAT, ATC, LAT
Practice Location Address:

351 W UNIVERSITY BLVD
CEDAR CITY, UT
84720-2415

Practice Phone: 435-586-7823
Practice Fax:

1700820172 — MISSOURI CVS PHARMACY LLC
Practice Location Address:

5440 NW 64TH ST
KANSAS CITY, MO
64151-2415

Practice Phone: 816-741-5576
Practice Fax:

1821019092 — OPTION CARE ENTERPRISES INC
Practice Location Address:

3401 S MERIDIAN AVE
OKLAHOMA CITY, OK
73119-2415

Practice Phone: 405-789-1600
Practice Fax: 405-789-3887

1891708277 — DR. STEVEN EDWARD WATSON DO
Practice Location Address:

10617 W COUNTRY DR
OKLAHOMA CITY, OK
73170-2415

Practice Phone: 405-691-9132
Practice Fax:

Directions to “BOLDNESS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.