Provider Demographics
NPI:1124776133
Name:VISIONS FOR INDEPENDENT LIVING, INC
Entity type:Organization
Organization Name:VISIONS FOR INDEPENDENT LIVING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:
Authorized Official - Last Name:BAESMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-888-7760
Mailing Address - Street 1:8100 E UNION AVE UNIT 708
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2974
Mailing Address - Country:US
Mailing Address - Phone:303-888-7760
Mailing Address - Fax:
Practice Address - Street 1:8100 E UNION AVE UNIT 708
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2974
Practice Address - Country:US
Practice Address - Phone:303-888-7760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities