MEDICARE: THE URBAN FARM

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	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care

General Provider Information

NPI Number	:	1841172111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE URBAN FARM

Provider Business Mailing Address
First Line	:	10200 SMITH RD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80239-3238
Country	:	US
Telephone Number	:	303-909-2636
Fax Number	:

Provider Business Practice Location Address
First Line	:	10200 SMITH RD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80239-3238
Country	:	US
Telephone Number	:	303-909-2636
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	PAIGE HEYDON
Credential	:
Telephone Number	:	303-909-2636

Provider Enumeration Date	:	07/25/2025
Last Update Date	:	07/25/2025

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Directions to “THE URBAN FARM ” Practice Location

Language	Start Address	Practice Location

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