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UPSON HALL LLC
NPI 1063177640
Clinic/Center - Rehabilitation, Substance Use Disorder in Broomfield, CO

Active since November 08, 2021CLIA 06D2142831 · Waiver
295 INTERLOCKEN BLVD STE 400, BROOMFIELD, CO 80021(657) 304-0103 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: May 7, 2025, Oct 1, 2024, Nov 8, 2021 (3 updates tracked since 2021).

About Upson Hall Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPSON HALL LLC (NPI 1063177640), doing business as Denver Recovery Center, is a healthcare organization registered as a rehabilitation, substance use disorder in Broomfield, Colorado and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Gilbert Yates, Contract Manager, as its authorized official.

NPPES Registry Identity

NPI1063177640
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameUPSON HALL LLC
Location Address295 INTERLOCKEN BLVD STE 400Broomfield, CO 80021-8105
Mailing Address295 Interlocken Blvd Ste 400Broomfield, CO 80021-8105
Phone(657) 304-0103
Organization SubpartNo
Authorized OfficialGilbert YatesContract Manager · (877) 262-7803
Enumeration DateNovember 8, 2021
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1063177640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
295 INTERLOCKEN BLVD STE 400, Broomfield, CO 80021
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Other Names 1

Doing Business AsDenver Recovery Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2142831

Upson Hall, LLC Dba - Denver Recovery Center · Broomfield, CO
Active · expires Jan 18, 2028
CLIA Number06D2142831
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorDr. Valeh K. Pitre
Laboratory Phone(720) 438-7346
Laboratory LocationUpson Hall, LLC Dba - Denver Recovery Center295 Interlocken Blvd, Suite 400, Broomfield, CO 80021
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENVER RECOVERY CENTER, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
295 INTERLOCKEN BLVD STE 400
BROOMFIELD, CO 80021
Jefferson County (888) 853-5585
SEAN PALMER
Social Worker
295 INTERLOCKEN BLVD STE 400
BROOMFIELD, CO 80021
Jefferson County (703) 438-7346
PRECISION LAB SERVICES, LLC
Clinical Medical Laboratory
295 INTERLOCKEN BLVD STE 400
BROOMFIELD, CO 80021
Jefferson County (888) 853-5585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upson Hall LLC's NPI number?

The NPI number for Upson Hall LLC is 1063177640. It was assigned to this organization in the NPPES registry on November 8, 2021. The provider is doing business as Denver Recovery Center.

Where is Upson Hall LLC located?

Upson Hall LLC is located at 295 Interlocken Blvd Ste 400, Broomfield, CO 80021. The listed phone number is (657) 304-0103.

What is Upson Hall LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Upson Hall LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2142831) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Upson Hall LLC was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.