Eaglesnest Group Center
Residential Treatment Facility, Physical Disabilities in Bailey, CO. Organization (NPI-2).
NPI number1609045350
StatusActive
Last updated in NPPESFeb 27, 2008
Details
- NPI
- 1609045350
- Entity type
- Organization (NPI-2)
- Legal business name
- Eaglesnest Group Center
- Organization subpart
- No
- Enumeration date
- Feb 27, 2008
- Last updated
- Feb 27, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320700000X | Residential Treatment Facility, Physical Disabilities | 1544800 | CO | Yes |
Practice location
1149 Dick Mountain DrBailey, CO 80421-2097
Phone 303-838-2468 · Fax 303-838-2478
Mailing address
1149 Dick Mountain DrBailey, CO 80421-2097
Phone 303-838-2468 · Fax 303-838-2478
Authorized official
Melanie Virginia Kennedy
Administratot
3038382468
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