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General NPI Number Information
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NPI Number | 1518544592
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Entity Type | Organization
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Legal Business Name | CENTREPOINT SUPPORT LIVING, LLC
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 6892 S YOSEMITE CT # 1-101A
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City | CENTENNIAL
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State | CO
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Zip | 80112-1464
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Country | US
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Telephone | 303-591-2185
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Fax |
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Provider Business Mailing Address
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Address Line | 6892 S YOSEMITE CT # 1-101A
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City | CENTENNIAL
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State | CO
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Zip | 80112-1464
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Country | US
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Telephone | 303-591-2185
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. TERRY R. WILLIAMS
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Credential |
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Telephone | 303-591-2185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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