Organization
COMMUNITY ADVANTAGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WHOBREY (PROVIDER ENROLLMENT)
(502) 630-7249
Entity
Organization
Contact information
Practice address
11990 GRANT ST STE 550, NORTHGLENN, CO 80233-1101
(970) 330-3349
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30830885
—
CO
Enumeration date
05/10/2007
Last updated
09/01/2020
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