Healthcare Provider Details

I. General information

NPI: 1912389339
Provider Name (Legal Business Name): MORE MAITRI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2015
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 W 84TH AVE STE 224
THORNTON CO
80260-4800
US

IV. Provider business mailing address

2727 W 92ND AVENUE SUITE 100D
FEDERAL HEIGHTS CO
80260
US

V. Phone/Fax

Practice location:
  • Phone: 303-482-1339
  • Fax: 303-429-1032
Mailing address:
  • Phone: 303-482-1339
  • Fax: 303-429-1032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BETHANY LEE FRYE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 303-482-1339