Imagine

LBN: Developmental Disabilities Center
Imagine is an health care organization with primary practice located at 1960 Ken Pratt Blvd Ste D , Longmont CO 80503-6045. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Developmental Disabilities Center can be contacted via phone (303) 776-2388, or through Nevins, John B via phone (303) 665-7789.

Contact Information

Primary practice address
1960 Ken Pratt Blvd Ste D Longmont CO 80503-6045
Phone: (303) 776-2388
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nevins, John B
Phone: (303) 665-7789

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1962522235
LBN Legal business name Developmental Disabilities Center
DBA Doing business as Imagine
Authorized official Nevins, John B
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Nov 1st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962522235 NPPES
Colorado MEDICAID 09143249

Popular Providers