Healthcare Provider Details

I. General information

NPI: 1053863845
Provider Name (Legal Business Name): NORTH METRO COMMUNITY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2016
Last Update Date: 02/01/2022
Certification Date: 02/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 W 124TH AVE
WESTMINSTER CO
80234-1705
US

IV. Provider business mailing address

1001 W 124TH AVE
WESTMINSTER CO
80234-1705
US

V. Phone/Fax

Practice location:
  • Phone: 303-457-1001
  • Fax: 303-255-6510
Mailing address:
  • Phone: 303-457-1001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: GEORGE MONTOYA
Title or Position: ASST EXEC DIR/CFO
Credential:
Phone: 303-453-3338