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BRAD'S HOUSE MESA RIDGE LLC
NPI 1235973660
Residential Treatment Facility, Emotionally Disturbed Children in Colorado Springs, CO

Active since June 20, 2024
646 DEXTER ST, COLORADO SPRINGS, CO 80911(719) 204-4548 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brad's House Mesa Ridge Llc NPPES

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

BRAD'S HOUSE MESA RIDGE LLC (NPI 1235973660) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Colorado Springs, Colorado and active in the NPI registry since June 2024. The organization lists Patrick Haggard, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1235973660
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameBRAD'S HOUSE MESA RIDGE LLC
Location Address646 DEXTER STColorado Springs, CO 80911-2542
Mailing Address14960 Woodcarver RdColorado Springs, CO 80921-2370
Phone(719) 204-4548
Organization SubpartNo
Authorized OfficialPatrick HaggardBilling Manager · (719) 641-6051
Enumeration DateJune 20, 2024
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1235973660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
646 DEXTER ST, Colorado Springs, CO 80911
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Other Providers at the Same Location NPPES

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

BRAD'S HOUSE MESA RIDGE LLC
Counselor (Mental Health)
646 DEXTER ST
COLORADO SPRINGS, CO 80911
El Paso County (719) 641-7051

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 Brad's House Mesa Ridge LLC's NPI number?

The NPI number for Brad's House Mesa Ridge LLC is 1235973660. It was assigned to this organization in the NPPES registry on June 20, 2024.

Where is Brad's House Mesa Ridge LLC located?

Brad's House Mesa Ridge LLC is located at 646 Dexter St, Colorado Springs, CO 80911. The listed phone number is (719) 204-4548.

What is Brad's House Mesa Ridge LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Brad's House Mesa Ridge LLC was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.