Provider Demographics
NPI:1689044323
Name:CORD, LLC
Entity Type:Organization
Organization Name:CORD, LLC
Other - Org Name:CORD DOULA COLLECTIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSSETT
Authorized Official - Suffix:
Authorized Official - Credentials:CD
Authorized Official - Phone:970-389-0265
Mailing Address - Street 1:3051 S OGDEN ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-1749
Mailing Address - Country:US
Mailing Address - Phone:970-389-0265
Mailing Address - Fax:
Practice Address - Street 1:3051 S OGDEN ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-1749
Practice Address - Country:US
Practice Address - Phone:970-389-0265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty