Provider Demographics
NPI:1982364212
Name:RESTORE OSTEO OF COLORADO LLC
Entity Type:Organization
Organization Name:RESTORE OSTEO OF COLORADO LLC
Other - Org Name:SPRUCE HEALTH GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-729-2727
Mailing Address - Street 1:26 W DRY CREEK CIR STE 390
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8064
Mailing Address - Country:US
Mailing Address - Phone:720-756-1031
Mailing Address - Fax:720-531-4938
Practice Address - Street 1:26 W DRY CREEK CIR STE 390
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8064
Practice Address - Country:US
Practice Address - Phone:720-756-1031
Practice Address - Fax:720-531-4938
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESTORE OSTEO OF COLORADO LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-28
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic FitterGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000200602Medicaid