Healthcare Provider Details

I. General information

NPI: 1558299057
Provider Name (Legal Business Name): THE HUMAN KIND COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 LOUISIANA DR
BAYFIELD CO
81122-9870
US

IV. Provider business mailing address

608 LOUISIANA DR
BAYFIELD CO
81122-9870
US

V. Phone/Fax

Practice location:
  • Phone: 303-902-9101
  • Fax:
Mailing address:
  • Phone: 303-902-9101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MEGHANN MARIE BACA
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential:
Phone: 303-902-9101