Healthcare Provider Details

I. General information

NPI: 1205635042
Provider Name (Legal Business Name): CAMINOS A CASA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 LEE HILL DR
BOULDER CO
80302-9549
US

IV. Provider business mailing address

4869 BROADWAY ST
BOULDER CO
80304-0523
US

V. Phone/Fax

Practice location:
  • Phone: 720-235-8242
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ROBYN STEUBER
Title or Position: HOUSING RETENTION TEAM CLINICAL LEA
Credential:
Phone: 720-235-8242