Provider Demographics
NPI:1174634349
Name:COMMONSPIRIT MOUNTAIN VENTURES, LLC
Entity type:Organization
Organization Name:COMMONSPIRIT MOUNTAIN VENTURES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT VP OPS
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:GAASCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-673-8108
Mailing Address - Street 1:9100 E MINERAL CIR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3401
Mailing Address - Country:US
Mailing Address - Phone:303-561-5000
Mailing Address - Fax:
Practice Address - Street 1:9100 E MINERAL CIR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3401
Practice Address - Country:US
Practice Address - Phone:303-561-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO73726770Medicaid
CO067115Medicare ID - Type Unspecified