Provider Demographics
NPI:1144770496
Name:VIRTUOUS SUPPORT SERVICES
Entity Type:Organization
Organization Name:VIRTUOUS SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NKANSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-404-5614
Mailing Address - Street 1:14705 E HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2435
Mailing Address - Country:US
Mailing Address - Phone:720-404-5614
Mailing Address - Fax:
Practice Address - Street 1:14705 E HARVARD AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2435
Practice Address - Country:US
Practice Address - Phone:720-404-5614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp