Provider Demographics
NPI:1851174767
Name:ALTERNATIVE RESIDENTIAL SERVICES, LLC
Entity Type:Organization
Organization Name:ALTERNATIVE RESIDENTIAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF RESIDENTIAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:BLOSSOM
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:720-499-9610
Mailing Address - Street 1:22282 E BELLEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-4723
Mailing Address - Country:US
Mailing Address - Phone:720-499-9610
Mailing Address - Fax:
Practice Address - Street 1:22282 E BELLEWOOD PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-4723
Practice Address - Country:US
Practice Address - Phone:720-499-9610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities