BRAD'S HOUSE MESA RIDGE LLC – NPI #1235973660
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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

BRAD'S HOUSE MESA RIDGE LLC is a residential treatment facility located in COLORADO SPRINGS, CO. NPPES has assigned the NPI number 1235973660 to BRAD'S HOUSE MESA RIDGE LLC on June 20, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 Apr 25, 2025. 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 MESA RIDGE LLC below.

NPI Profile for
BRAD'S HOUSE MESA RIDGE LLC

NPI Number
1235973660
Enumeration Date

(about 2 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
BRAD'S HOUSE MESA RIDGE LLC
Primary location
646 DEXTER ST
COLORADO SPRINGS, CO 80911-2542
Phone: (719) 204-4548 Fax:
Mailing address
14960 WOODCARVER RD
COLORADO SPRINGS, CO 80921-2370
Phone: Fax:
Organization Subpart
No
Authorized Official
PATRICK HAGGARD
BILLING MANAGER
Phone: (719) 641-6051
Updated
Certification Date
Apr 25, 2025

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.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

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.