# SHILOH HOME INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457574790
- **Authorized official:** MR. STEVEN RAMIREZ (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (303) 932-9599

## Contact information

- **Practice address:** 2700 E KEN PRATT BLVD, LONGMONT, CO 80504-5275
- **Practice address phone:** (303) 932-9599
- **Mailing address:** 6400 W COAL MINE AVE, LITTLETON, CO 80123-4501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 1539982 | CO | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 10/25/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 40682871 | — | CO |