JEFFERSON CENTER FOR MENTAL HEALTH NPI 1578159745

NPI Information

NPI: 1578159745
Provider Name: JEFFERSON CENTER FOR MENTAL HEALTH
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
8640 W JEWELL AVE
LAKEWOOD, CO
ZIP 80232
Phone: (303) 232-8047
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JEFFERSON CENTER FOR MENTAL HEALTH is an assisted living facility in Lakewood, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. JEFFERSON CENTER FOR MENTAL HEALTH NPI is 1578159745. The provider is registered as an organization entity type.

The provider's business location address is:

8640 W JEWELL AVE
LAKEWOOD, CO
ZIP 80232-624
Phone: (303) 232-8047
Fax: (303) 232-1979

The provider's authorized official is David A Goff .
The authorized official title is Chief Financial Officer and has the following contact phone number (303) 432-5164.

The enumeration date for this NPI number is 12/11/2020 and was last updated on 12/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	310400000X	Assisted Living Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	51175231	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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