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General NPI Number Information
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NPI Number | 1720664824
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Entity Type | Organization
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Legal Business Name | COLORADO LOVING CARE LLC
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Dates
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Enumeration Date | 03/20/2021
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1776 S JACKSON ST STE 405
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City | DENVER
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State | CO
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Zip | 80210-3804
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Country | US
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Telephone | 720-663-0354
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 S JACKSON ST STE 405
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City | DENVER
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State | CO
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Zip | 80210-3804
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Country | US
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Telephone | 720-663-0354
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NOVA BETTINGER
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Credential |
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Telephone | 720-226-6632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 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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