Provider Demographics
NPI:1366698664
Name:ADULT CARE MANAGEMENT, INC.
Entity type:Organization
Organization Name:ADULT CARE MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JC
Authorized Official - Middle Name:
Authorized Official - Last Name:LODGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-439-7760
Mailing Address - Street 1:1455 DIXON ST STE 320
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-8830
Mailing Address - Country:US
Mailing Address - Phone:303-439-7760
Mailing Address - Fax:720-293-9882
Practice Address - Street 1:1455 DIXON ST STE 320
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-8830
Practice Address - Country:US
Practice Address - Phone:303-439-7760
Practice Address - Fax:720-293-9882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management