EXCELSIOR YOUTH CENTER – NPI #1104124148
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

EXCELSIOR YOUTH CENTER is a community based residential treatment facility located in AURORA, CO. NPPES has assigned the NPI number 1104124148 to EXCELSIOR YOUTH CENTER on February 28, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXCELSIOR YOUTH CENTER below.

NPI Profile for
EXCELSIOR YOUTH CENTER

NPI Number
1104124148
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXCELSIOR YOUTH CENTER
Primary location
15001 E OXFORD AVE
AURORA, CO 80014-4186
Phone: (303) 693-1550 Fax: (303) 693-8309
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOAN GABRIELSON
DIRECTOR
Phone: (303) 693-1550
Updated
Identifiers

Identifiers for EXCELSIOR YOUTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCO53239873
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 CO 45243

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.