Provider Demographics
NPI:1437697562
Name:COMMUNITY CHOICES DAY SERVICES
Entity Type:Organization
Organization Name:COMMUNITY CHOICES DAY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-337-6319
Mailing Address - Street 1:2228 S FRASER ST
Mailing Address - Street 2:UNIT 4
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4530
Mailing Address - Country:US
Mailing Address - Phone:303-337-6319
Mailing Address - Fax:303-369-2505
Practice Address - Street 1:2228 S FRASER ST
Practice Address - Street 2:UNIT 4
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4530
Practice Address - Country:US
Practice Address - Phone:303-337-6319
Practice Address - Fax:303-369-2505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO02229846Medicaid