Healthcare Provider Details

I. General information

NPI: 1144362922
Provider Name (Legal Business Name): DEVELOPMENTAL DISABILITIES RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11177 W 8TH AVE SUITE 300
LAKEWOOD CO
80215-5575
US

IV. Provider business mailing address

11177 W 8TH AVE SUITE 300
LAKEWOOD CO
80215-5575
US

V. Phone/Fax

Practice location:
  • Phone: 303-233-3363
  • Fax: 303-233-0103
Mailing address:
  • Phone: 303-233-3363
  • Fax: 303-233-0103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL
# 7
Primary TaxonomyN
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. GENA COLBERT
Title or Position: CHIEF FINANCIAL OFFICER
Credential: CPA
Phone: 303-462-6509