Provider Demographics
NPI:1447795505
Name:CONSUMER DIRECT FOR COLORADO, LLC
Entity Type:Organization
Organization Name:CONSUMER DIRECT FOR COLORADO, LLC
Other - Org Name:CONSUMER DIRECT CARE NETWORK COLORADO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LEGAL ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:406-532-1929
Mailing Address - Street 1:7951 E MAPLEWOOD AVE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4723
Mailing Address - Country:US
Mailing Address - Phone:884-381-4433
Mailing Address - Fax:866-924-9072
Practice Address - Street 1:7951 E MAPLEWOOD AVE
Practice Address - Street 2:SUITE 125
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4723
Practice Address - Country:US
Practice Address - Phone:884-381-4433
Practice Address - Fax:866-924-9072
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONSUMER DIRECT HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health