# CARMEL COMMUNITY LIVING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Overture
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598887804
- **Authorized official:** JENNIFER KELLY MSC (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (720) 660-1844

## Contact information

- **Practice address:** 11177 W 8TH AVE STE 220, LAKEWOOD, CO 80215-5520
- **Practice address phone:** (720) 496-2605
- **Practice address fax:** (720) 458-1665
- **Mailing address:** 451 21ST AVE STE B, LONGMONT, CO 80501-1483
- **Mailing address phone:** (303) 444-0573
- **Mailing address fax:** (720) 563-0140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | CO | — |
| 253Z00000X | In Home Supportive Care Agency | — | CO | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | 04B477 | CO | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 03/28/2022