Basic Information
| Provider Information | |||||||||
| NPI: | 1639616972 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | CONTINUUM OF COLORADO | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 14280 E JEWELL AVE STE B | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800127938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032143200 | ||||||||
| FaxNumber: | 3032143360 | ||||||||
| Practice Location | |||||||||
| Address1: | 1060 W LITTLETON BLVD | ||||||||
| Address2: | |||||||||
| City: | LITTLETON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801202215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032143200 | ||||||||
| FaxNumber: | 3032143360 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2017 | ||||||||
| LastUpdateDate: | 08/02/2022 | ||||||||
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| AuthorizedOfficialLastName: | LANPHER | ||||||||
| AuthorizedOfficialFirstName: | ALEXA | ||||||||
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| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3034348952 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251C00000X | Y | Agencies | Day Training, Developmentally Disabled Services |
ID Information
| ID | Type | State | Issuer | Description | 88200051 | 05 | CO | MEDICAID |