Healthcare Provider Details

I. General information

NPI: 1134070105
Provider Name (Legal Business Name): BOLDNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9748 DANUBE CT
COMMERCE CITY CO
80022-2415
US

IV. Provider business mailing address

9748 DANUBE CT
COMMERCE CITY CO
80022-2415
US

V. Phone/Fax

Practice location:
  • Phone: 720-728-9327
  • Fax:
Mailing address:
  • Phone: 720-728-9327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MEDETINA ADAGBA
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 720-728-9327