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General NPI Number Information
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NPI Number | 1447191515
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Entity Type | Organization
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Legal Business Name | HOMEBRIDGE LLC
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 5205 S JEBEL WAY
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City | CENTENNIAL
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State | CO
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Zip | 80015-5211
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Country | US
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Telephone | 720-329-3229
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Fax |
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Provider Business Mailing Address
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Address Line | 5205 S JEBEL WAY
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City | CENTENNIAL
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State | CO
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Zip | 80015-5211
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Country | US
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Telephone | 720-329-3229
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | ZELEKE MARUTA
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Credential |
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Telephone | 720-329-3229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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