MEDICARE: CROWLEY FOUNDATION 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1629913116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROWLEY FOUNDATION INC

Provider Business Mailing Address
First Line	:	2065 UINTA ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3048
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 PARK AVE W
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-3209
Country	:	US
Telephone Number	:	720-935-6465
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. KENNETH D CROWLEY SR.
Credential	:
Telephone Number	:	720-935-6465

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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