Individual Dynamics

LBN: Individual Dynamics
Individual Dynamics is an health care organization with primary practice located at 4750 S Santa Fe Cir Ste 5 , Englewood CO 80110-6493. The organization recently has 4 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Early Intervention Provider Agency, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Individual Dynamics can be contacted via phone (720) 468-0896, or through Graves, Kevin via phone (720) 295-5559.

Contact Information

Primary practice address
4750 S Santa Fe Cir Ste 5 Englewood CO 80110-6493
Phone: (720) 468-0896
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graves, Kevin
Phone: (720) 295-5559

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Respite Care Facility / Respite Care 385H00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1063141661
LBN Legal business name Individual Dynamics
DBA Doing business as
Authorized official Graves, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2022
Last updated Jun 8th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063141661 NPPES
Colorado MEDICAID 19883587

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