Provider Demographics
NPI:1619410636
Name:C & D CHOICES, INC
Entity Type:Organization
Organization Name:C & D CHOICES, INC
Other - Org Name:A REAL DIFFERENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PROGRAMMING
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIGIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-366-3882
Mailing Address - Street 1:11678 HURON ST
Mailing Address - Street 2:150
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2923
Mailing Address - Country:US
Mailing Address - Phone:303-366-3882
Mailing Address - Fax:303-366-3845
Practice Address - Street 1:11678 HURON ST
Practice Address - Street 2:150
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-2923
Practice Address - Country:US
Practice Address - Phone:303-366-3882
Practice Address - Fax:303-366-3845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-22
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO14505771Medicaid
CO84730081Medicaid