<Unavail>
LBN: Stout Street Foundation
<Unavail> is an health care organization with primary practice located at 7201 E 49Th Ave , Commerce City CO 80022-4714. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Rehabilitation, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Stout Street Foundation can be contacted via phone (303) 321-2533, or through Brydon, Katie via phone (720) 401-2340.
Contact Information
Primary practice address
7201 E 49Th Ave
Commerce City CO 80022-4714
Phone: (303) 321-2533
Fax: (303) 468-6184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 139909 | Colorado |
Profile Details
| NPI number | 1104248947 |
|---|---|
| LBN Legal business name | Stout Street Foundation |
| DBA Doing business as | <Unavail> |
| Authorized official | Brydon, Katie LCSW, LAC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 14th, 2014 |
| Last updated | Oct 16th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104248947 | NPPES |
| Colorado | MEDICAID | 9000187465 |
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