Provider Demographics
NPI:1598263535
Name:QUE PASA, LLC
Entity Type:Organization
Organization Name:QUE PASA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIANA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BLAKELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-726-2065
Mailing Address - Street 1:6700 W DORADO DR UNIT 16
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-5174
Mailing Address - Country:US
Mailing Address - Phone:303-726-2065
Mailing Address - Fax:
Practice Address - Street 1:6700 W DORADO DR UNIT 16
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-5174
Practice Address - Country:US
Practice Address - Phone:303-726-2065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-24
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO121164Medicaid
COPHPK1768249OtherPHILADELPHIA INSURANCE CO