BOLDER LIFE – NPI #1376093898
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

BOLDER LIFE is a substance abuse rehabilitation facility located in BOULDER, CO. NPPES has assigned the NPI number 1376093898 to BOLDER LIFE on October 07, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOLDER LIFE” is a dba name, the actual legal business name for this organization is BOULDER INTEGRATED HEALTH LLC. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 5 years ago on Sep 10, 2021. 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 BOLDER LIFE below.

NPI Profile for
BOULDER INTEGRATED HEALTH LLC

NPI Number
1376093898
Enumeration Date

(more than 9 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
BOULDER INTEGRATED HEALTH LLC
Doing Business As (dba): BOLDER LIFE
Primary location
2429 BROADWAY ST
BOULDER, CO 80304-4108
Phone: (720) 739-6500 Fax: (720) 204-3930
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARY WILSON
BUSINESS OFFICE MANAGER
Phone: (720) 739-6500
Updated
Certification Date
Jul 15, 2021

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
324500000X
- Substance Abuse Rehabilitation Facility (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.