BRAD'S HOUSE – NPI #1053074351
Residential Treatment Facility, Emotionally Disturbed Children

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.

BRAD'S HOUSE is a residential treatment facility located in MONUMENT, CO. NPPES has assigned the NPI number 1053074351 to BRAD'S HOUSE on October 14, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRAD'S HOUSE” is a dba name, the actual legal business name for this organization is BRADS HOUSE MONUMENT. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was last updated on Aug 05, 2024. 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 BRAD'S HOUSE below.

NPI Profile for
BRADS HOUSE MONUMENT

NPI Number
1053074351
Enumeration Date

(more than 4 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
BRADS HOUSE MONUMENT
Doing Business As (dba): BRAD'S HOUSE
Primary location
2810 HUNTERS GLEN RD
MONUMENT, CO 80132-9704
Phone: (719) 639-3776 Fax:
Mailing address
14960 WOODCARVER RD # 106
COLORADO SPRINGS, CO 80921-2370
Phone: (719) 639-3776 Fax:
Organization Subpart
No
Authorized Official
PATRICK HAGGARD
BILLING MANAGER
Phone: (719) 204-4548
Updated
Certification Date
Aug 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.