Provider Demographics
NPI:1659873354
Name:OUR FRONT PORCH, L3C
Entity Type:Organization
Organization Name:OUR FRONT PORCH, L3C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-593-8606
Mailing Address - Street 1:6740 E COLFAX AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-1704
Mailing Address - Country:US
Mailing Address - Phone:720-593-8606
Mailing Address - Fax:
Practice Address - Street 1:6740 E COLFAX AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-1704
Practice Address - Country:US
Practice Address - Phone:720-593-8606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099232971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty