1Quality Life in Broomfield - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
1Quality Life - NPI 1699816488
1Quality Life is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Broomfield, Colorado. 1Quality Life practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for 1Quality Life is 1699816488. The last update date is 2008-06-13.
1Quality Life's current location address is 11975 Reed Street, Broomfield, Colorado. You can contact this provider via phone number 3034392122 and fax number 3034392622. The mailing address for 1Quality Life is 11975 Reed Street, Broomfield, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 1Quality Life |
|---|---|
| Address | 11975 Reed Street, Broomfield, Colorado |
| Phone Number | 3034392122 |
| Fax Number | 3034392622 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Van Blaricom A. Eugene |
| Credentials | BACHELOR O |
| Telephone Number | 3034392122 |
NPI Number Detail
| NPI Number | 1699816488 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 11975 Reed Street |
|---|---|
| City | Broomfield |
| State | Colorado (CO) |
| Post Code | 800202815 |
| Phone Number | 3034392122 |
| Fax Number | 3034392622 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 32066 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 147588 | CO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to 1Quality Life by the Centers for Medicare & Medicaid Services?
The 1Quality Life has been assigned the NPI (National Provider Identifier) 1699816488. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of 1Quality Life?
The 1Quality Life is physically situated at 11975 Reed Street, in the city of Broomfield, state of CO, with the postal code 800202815.
What is the 1Quality Life's area of specialization and corresponding taxonomy classification?
The 1Quality Life's specialty field is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1699816488 to 1Quality Life?
The Centers for Medicare & Medicaid Services assigned the 1699816488 to 1Quality Life on 2007-02-12.
As of what date was the information regarding 1Quality Life, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to 1Quality Life, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-13.