Provider Demographics
NPI:1750046660
Name:MARKONE
Entity Type:Organization
Organization Name:MARKONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TSION
Authorized Official - Middle Name:
Authorized Official - Last Name:NIGUSSIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-251-5534
Mailing Address - Street 1:5551 S QUATAR ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-3570
Mailing Address - Country:US
Mailing Address - Phone:720-251-5534
Mailing Address - Fax:
Practice Address - Street 1:5551 S QUATAR ST
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-3570
Practice Address - Country:US
Practice Address - Phone:720-251-5534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services