Provider Demographics
NPI:1518782721
Name:BLOOMING CONNECTIONS ADULT DAY PROGRAM LLC
Entity type:Organization
Organization Name:BLOOMING CONNECTIONS ADULT DAY PROGRAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBOTIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-472-3468
Mailing Address - Street 1:5475 S FLAT ROCK WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5920
Mailing Address - Country:US
Mailing Address - Phone:303-472-3468
Mailing Address - Fax:
Practice Address - Street 1:3140 S PARKER RD STE 9
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3160
Practice Address - Country:US
Practice Address - Phone:303-472-3468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services