Provider Demographics
NPI:1336896281
Name:MILE HIGH COMMUNITY CONNECTIONS LTD
Entity Type:Organization
Organization Name:MILE HIGH COMMUNITY CONNECTIONS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:NIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-831-7579
Mailing Address - Street 1:4340 E KENTUCKY AVE STE 406
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-2076
Mailing Address - Country:US
Mailing Address - Phone:720-831-7579
Mailing Address - Fax:
Practice Address - Street 1:4340 E KENTUCKY AVE STE 406
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246-2076
Practice Address - Country:US
Practice Address - Phone:720-831-7579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SNOWBANKS INDUSTRIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-09
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities