COMMUNITY ROOTS, LLC
NPI 1245994961
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lafayette, CO
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 06D0510935
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 11-28-2025
About COMMUNITY ROOTS, LLC
This page provides the complete NPI Profile along with additional information for Community Roots, Llc, a provider established in Lafayette, Colorado operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1245994961 assigned on October 2021. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Alicia Nicole Burdick (Owner)
- NPI
- 1245994961 Verify this NPI
- Provider Name
- COMMUNITY ROOTS, LLC
- Entity Type
- Organization
- Location Address
- 215 REMUDA LN LAFAYETTE, CO 80026
- Location Phone
- (303) 746-8862
- Mailing Address
- 215 REMUDA LN LAFAYETTE, CO 80026
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-28-2021
- Last Update Date
- 10-28-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D0510935
- Facility Type
- Hospital
- Certificate Effective Date
- November 29, 2023
- Certificate Expiration Date
- November 28, 2025
- Laboratory Director
- DR. KEVIN W. HANLEY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Community Roots, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
LAFAYETTE, CO 80026
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245994961, enumerated as an "organization" on October 28, 2021.
The provider is located at 215 REMUDA LN LAFAYETTE, CO 80026 and the phone number is (303) 746-8862.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
