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LESLIE POTTEBAUM
NPI 1497308670
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Arvada, CO

Active since July 17, 2019
16155 W 74TH DR, ARVADA, CO 80007(303) 912-1111 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2024, Jul 17, 2019 (2 updates tracked since 2019).

About Leslie Pottebaum NPPES

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

LESLIE POTTEBAUM (NPI 1497308670), doing business as Cy-les Ranch, is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Arvada, Colorado and active in the NPI registry since July 2019. The organization lists Leslie Pottebaum, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1497308670
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameLESLIE POTTEBAUM
Location Address16155 W 74TH DRArvada, CO 80007-7828
Mailing Address16155 W 74th DrArvada, CO 80007-7828 · (303) 912-1111
Phone(303) 912-1111
Organization SubpartNo
Authorized OfficialLeslie PottebaumSole Proprietor · (303) 912-1111
Enumeration DateJuly 17, 2019
Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1497308670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
16155 W 74TH DR, Arvada, CO 80007
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Other Names 1

Doing Business AsCy-les Ranch

Other Providers at the Same Location NPPES

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

CY-LESS RANCH
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
16155 W 74TH DR
ARVADA, CO 80007
Jefferson County (303) 423-4424

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 Leslie Pottebaum's NPI number?

The NPI number for Leslie Pottebaum is 1497308670. It was assigned to this organization in the NPPES registry on July 17, 2019. The provider is doing business as Cy-Les Ranch.

Where is Leslie Pottebaum located?

Leslie Pottebaum is located at 16155 W 74th Dr, Arvada, CO 80007. The listed phone number is (303) 912-1111.

What is Leslie Pottebaum's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Leslie Pottebaum was last updated on July 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.