MEDICARE: COURT HOUSE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility	45724	CO
2	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility	46050	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326269390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COURT HOUSE INC.

Provider Business Mailing Address
First Line	:	333 W HAMPDEN AVE
Second Line	:	SUITE 305
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-2330
Country	:	US
Telephone Number	:	303-761-6756
Fax Number	:	303-781-0066

Provider Business Practice Location Address
First Line	:	3640 W PRINCETON CIR
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80236-3109
Country	:	US
Telephone Number	:	303-761-6756
Fax Number	:	303-781-0066

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. ANNE ROBINSON
Credential	:
Telephone Number	:	303-761-6756

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	08/22/2020

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