Healthcare Provider Details

I. General information

NPI: 1942140058
Provider Name (Legal Business Name): UPSIDE COLLECTIVE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 COLORFUL AVE
LONGMONT CO
80504-5249
US

IV. Provider business mailing address

2950 COLORFUL AVE
LONGMONT CO
80504-5249
US

V. Phone/Fax

Practice location:
  • Phone: 720-978-8333
  • Fax:
Mailing address:
  • Phone: 720-512-0005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: JON STEFFEY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 720-512-0005