MEDICARE: CARMEL COMMUNITY LIVING CORPORATION

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	253Z00000X	In Home Supportive Care Agency		CO
2	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care	04B477	CO
3	251C00000X	Developmentally Disabled Services Day Training Agency

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	:	1699897900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARMEL COMMUNITY LIVING CORPORATION

Provider Business Mailing Address
First Line	:	451 21ST AVE STE B
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-1483
Country	:	US
Telephone Number	:	303-444-0573
Fax Number	:	720-600-5176

Provider Business Practice Location Address
First Line	:	5540 N ACADEMY BLVD STE 150
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3665
Country	:	US
Telephone Number	:	720-496-2605
Fax Number	:	720-458-1665

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	JENNIFER ORDWAY
Credential	:	MSC
Telephone Number	:	720-660-1844

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	12/30/2021

Similar Medicare Providers

1053805853 — ALEC JOHN MARCHITELLO RBT
Practice Location Address:

5540 N ACADEMY BLVD STE 160
COLORADO SPRINGS, CO
80918-3665

Practice Phone: 720-358-4634
Practice Fax:

1598230401 — CHRISTINE NEESE HAYS BCBA
Practice Location Address:

5540 N ACADEMY BLVD STE 160
COLORADO SPGS, CO
80918-3665

Practice Phone: 719-368-8680
Practice Fax: 719-368-8680

1992195390 — MRS. JAMIE RAE MENDELL M.A CCC-SLP
Practice Location Address:

3665 HEATHER GLEN DR
COLORADO SPRINGS, CO
80922-3113

Practice Phone: 719-237-2038
Practice Fax:

1295870376 — COBB COUNTY COMMUNITY SERVICES BOARD
Practice Location Address:

825 POWDER SPRINGS ST , APT 701
MARIETTA, GA
30064-3665

Practice Phone: 770-499-2422
Practice Fax:

1649140898 — HEIDI COLONY LPCA
Practice Location Address:

1910 GARDEN SPRINGS DR
LEXINGTON, KY
40504-3665

Practice Phone: 859-493-8255
Practice Fax:

1700201001 — KATI SAUL LCSW
Practice Location Address:

1980 DOMINION WAY STE 202
COLORADO SPRINGS, CO
80918-8473

Practice Phone: 719-419-3939
Practice Fax: 719-419-3939

Directions to “CARMEL COMMUNITY LIVING CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.