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Mike's Place Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Carbondale, Colorado
NPI 1043818719

Mike's Place Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Carbondale, CO. Mike's Place Llc practices in Carbondale, CO. The NPI Number for Mike's Place Llc is 1043818719 and holds a License No. (Colorado).

The current practice location address for Mike's Place Llc is 325 Garfield Avenue, Carbondale, CO and can be reached out via phone at 970-319-8496.

Location: 325 Garfield Avenue, Carbondale, CO, 81623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043818719
Provider Name
Mike's Place Llc
Credential
Provider Entity Type
Organization
Address
325 Garfield Avenue, Carbondale, CO, 81623
Phone Number
970-319-8496
Fax Number
Provider Enumeration Date
10/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
48808717 05 CO
institution
Provider Business Practice Location Address Details
Address
325 Garfield Avenue
City
Carbondale
State
Colorado
Zip
81623
Phone Number
970-319-8496
Fax Number
person
Provider Business Mailing Address Details
Address
325 Garfield Avenue
City
Carbondale
State
Colorado
Zip
81623
Phone Number
970-319-8496
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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