Healthcare Provider Details

I. General information

NPI: 1548604671
Provider Name (Legal Business Name): ACTIVITY OPTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2013
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7401 W 59TH AVE
ARVADA CO
80003
US

IV. Provider business mailing address

7401 W 59TH AVE
ARVADA CO
80003
US

V. Phone/Fax

Practice location:
  • Phone: 303-358-2592
  • Fax: 720-329-6639
Mailing address:
  • Phone: 303-358-2592
  • Fax: 720-329-6639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MARGARET F. DECKER BERRY
Title or Position: OWNER/DIRECTOR/CFPO
Credential: CPA, SHRM, DSP-R
Phone: 303-358-2592