Healthcare Provider Details

I. General information

NPI: 1871711044
Provider Name (Legal Business Name): NORTH METRO COMMUNITY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 03/07/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 WEST 124TH AVE
WESTMINSTER CO
80234-1705
US

IV. Provider business mailing address

1001 WEST 124TH AVE
WESTMINSTER CO
80234-1705
US

V. Phone/Fax

Practice location:
  • Phone: 303-457-1001
  • Fax: 303-457-2326
Mailing address:
  • Phone: 303-457-1001
  • Fax: 303-457-2326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MARGARITO GANDARILLA
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 303-255-6528