Provider Demographics
NPI:1790919082
Name:PERCEPTUAL RESEARCH VENTURES, LLC
Entity Type:Organization
Organization Name:PERCEPTUAL RESEARCH VENTURES, LLC
Other - Org Name:PRV, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-372-1187
Mailing Address - Street 1:749 S LEMAY AVE # A3-178
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3249
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21640 COUNTY ROAD 5
Practice Address - Street 2:
Practice Address - City:CARR
Practice Address - State:CO
Practice Address - Zip Code:80612-9508
Practice Address - Country:US
Practice Address - Phone:970-372-1187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251V00000XAgenciesVoluntary or Charitable
No253J00000XAgenciesFoster Care Agency