Provider Demographics
NPI:1700022076
Name:WHEAT RIDGE REGIONAL CENTER
Entity Type:Organization
Organization Name:WHEAT RIDGE REGIONAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR WHEAT RIDGE REGIONAL CENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:G
Authorized Official - Last Name:RATLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-463-2700
Mailing Address - Street 1:10285 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2301
Mailing Address - Country:US
Mailing Address - Phone:303-463-2500
Mailing Address - Fax:303-463-2501
Practice Address - Street 1:10314 W. POWERS AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-1858
Practice Address - Country:US
Practice Address - Phone:303-932-8115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities