Provider Demographics
NPI:1417634775
Name:REDPOINT CENTER, LLC
Entity Type:Organization
Organization Name:REDPOINT CENTER, LLC
Other - Org Name:REDPOINT CENTER NORTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGENBART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-631-6817
Mailing Address - Street 1:1831 LEFTHAND CIR STE H
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-6769
Mailing Address - Country:US
Mailing Address - Phone:888-509-3153
Mailing Address - Fax:720-442-8318
Practice Address - Street 1:400 E. HORSETOOTH RD
Practice Address - Street 2:UNIT 202
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3189
Practice Address - Country:US
Practice Address - Phone:888-509-3153
Practice Address - Fax:720-442-8318
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REDPOINT CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-29
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder