Provider Demographics
NPI:1871711044
Name:NORTH METRO COMMUNITY SERVICES, INC
Entity type:Organization
Organization Name:NORTH METRO COMMUNITY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITO
Authorized Official - Middle Name:
Authorized Official - Last Name:GANDARILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-255-6528
Mailing Address - Street 1:1001 WEST 124TH AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-1705
Mailing Address - Country:US
Mailing Address - Phone:303-457-1001
Mailing Address - Fax:303-457-2326
Practice Address - Street 1:1001 WEST 124TH AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-1705
Practice Address - Country:US
Practice Address - Phone:303-457-1001
Practice Address - Fax:303-457-2326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO09144981Medicaid