Organization
SEB'S RECREATION CENTER
Active
Organization
SEB'S RECREATION CENTER
Active
Other names
Seb's Recreation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITHAN HOLIDAY (OWNER)
(303) 353-9822
Entity
Organization
Contact information
Practice address
1710 S BUCKLEY RD UNIT 9, AURORA, CO 80017-5639
(303) 353-9822
Mailing address
1710 S BUCKLEY RD UNIT 9, AURORA, CO 80017-5639
(303) 353-9822
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QV0200X
VA Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80017
RECREATION
CO
05
—
80017
—
CO
Enumeration date
01/14/2020
Last updated
03/04/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up