Martin House in Burlington - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Martin House - NPI 1093929465
Martin House is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Burlington, Colorado. Martin House practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Martin House is 1093929465. The last update date is 2020-08-22.
Martin House's current location address is 1776 Martin Ave, Burlington, Colorado. You can contact this provider via phone number 7193468550 and fax number 7193466010. The mailing address for Martin House is 1776 Martin Ave, Burlington, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Martin House |
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Address | 1776 Martin Ave, Burlington, Colorado |
Phone Number | 7193468550 |
Fax Number | 7193466010 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Reese Cheryl |
Telephone Number | 7193465367 |
NPI Number Detail
NPI Number | 1093929465 |
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Provider Enumeration Date | 2007-05-09 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1776 Martin Ave |
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City | Burlington |
State | Colorado (CO) |
Post Code | 808071540 |
Phone Number | 7193468550 |
Fax Number | 7193466010 |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Taxonomy | 320900000X |
Licence No | 1167 |
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 |
---|---|---|---|
9141912 | CO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Martin House?
The Martin House has been issued the NPI (National Provider Identifier) 1093929465 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Martin House?
The Martin House is situated at 1776 Martin Ave, in the city of Burlington, state of CO, with the zip code 808071540.
What is Martin House's specialized field of practice, and what is the corresponding taxonomy classification code?
The Martin House's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093929465 to Martin House?
The Centers for Medicare & Medicaid Services assigned the 1093929465 to Martin House on 2007-05-09.
As of what date was the information regarding Martin House, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Martin House, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.