DEVEREUX CLEO WALLACE – NPI #1184723660
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.
DEVEREUX CLEO WALLACE is a residential treatment facility located in WESTMINSTER, CO. NPPES has assigned the NPI number 1184723660 to DEVEREUX CLEO WALLACE on September 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 4 years ago on Mar 11, 2022. 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 DEVEREUX CLEO WALLACE below.
NPI Profile for
DEVEREUX CLEO WALLACE
(more than 19 years ago)
WESTMINSTER, CO 80021-3918 Phone: (303) 466-7391 Fax:
QUALITY IMPROVEMENT DIRECTOR
Phone: (303) 438-2265
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.
Identifiers for DEVEREUX CLEO WALLACE
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CO | 17284554 | |
| MEDICAID | CO | 05350053 |
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 |
|---|---|---|
| 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children (Primary) |
CO | 39794 |
| 323P00000X - Psychiatric Residential Treatment Facility |
CO | 39794 |
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.