Provider Demographics
NPI:1962855510
Name:VARIATIONS FOR PEOPLE WITH DISABILITIES, LLC
Entity Type:Organization
Organization Name:VARIATIONS FOR PEOPLE WITH DISABILITIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR SOLE EMPLOYEE
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:BARNHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-690-3385
Mailing Address - Street 1:460 S BOISE AVE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-6506
Mailing Address - Country:US
Mailing Address - Phone:970-690-3385
Mailing Address - Fax:
Practice Address - Street 1:460 S BOISE AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-6506
Practice Address - Country:US
Practice Address - Phone:970-690-3385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO50689045Medicaid