Provider Demographics
NPI:1467803460
Name:PERSONAL ASSISTANCE SERVICES OF COLORADO, LLC
Entity Type:Organization
Organization Name:PERSONAL ASSISTANCE SERVICES OF COLORADO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-233-3122
Mailing Address - Street 1:9197 W. 6TH AVE.
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-5109
Mailing Address - Country:US
Mailing Address - Phone:303-233-3122
Mailing Address - Fax:303-237-0974
Practice Address - Street 1:9197 W. 6TH AVE.
Practice Address - Street 2:SUITE 1000
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-5109
Practice Address - Country:US
Practice Address - Phone:303-233-3122
Practice Address - Fax:303-237-0974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-30
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO02250578Medicaid