Healthcare Provider Details

I. General information

NPI: 1699312215
Provider Name (Legal Business Name): NEIGHBORHOOD DEVELOPMENT COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2019
Last Update Date: 12/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 S BANNOCK ST UNIT 201
DENVER CO
80223-3670
US

IV. Provider business mailing address

1830 S BANNOCK ST UNIT 201
DENVER CO
80223-3670
US

V. Phone/Fax

Practice location:
  • Phone: 303-388-0909
  • Fax: 303-399-3394
Mailing address:
  • Phone: 303-388-0909
  • Fax: 303-399-3394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: GEORGE BENTLEY
Title or Position: PRESIDENT
Credential:
Phone: 303-388-0909