Healthcare Provider Details
I. General information
NPI: 1508382417
Provider Name (Legal Business Name): BRAIN INJURY ASSOCIATION OF COLORADO, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/22/2017
Last Update Date: 09/02/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7900 E COLFAX AVE STE B
DENVER CO
80220-3403
US
IV. Provider business mailing address
7900 E COLFAX AVE STE B
DENVER CO
80220-3403
US
V. Phone/Fax
- Phone: 303-355-9969
- Fax:
- Phone: 303-355-9969
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATE
KERKMANS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 303-355-9969