UPSON HALL LLC
NPI 1063177640
Clinic/Center - Rehabilitation, Substance Use Disorder in Broomfield, CO

NPI Status: Active since November 08, 2021

Contact Information

295 INTERLOCKEN BLVD STE 400
BROOMFIELD, CO
ZIP 80021
Phone: (657) 304-0103

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About UPSON HALL LLC

This page provides the complete NPI Profile along with additional information for Upson Hall Llc, a provider established in Broomfield, Colorado operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1063177640 assigned on November 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated May 2025. The provider's . The authorized official of this NPI record is Gilbert Yates (Contract Manager)

NPI
1063177640
Provider Legal Name
UPSON HALL LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
295 INTERLOCKEN BLVD STE 400 BROOMFIELD, CO 80021
Location Phone
(657) 304-0103
Mailing Address
295 INTERLOCKEN BLVD STE 400 BROOMFIELD, CO 80021
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-08-2021
Last Update Date
05-07-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1283Q00000XHospitals

Psychiatric Hospital

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GILBERT YATES

Authorized Official Title
CONTRACT MANAGER
Authorized Official Phone
(877) 262-7803

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063177640
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123271468
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 2 + 7 + 1 + 4 + 6 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1063177640 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982111605PRECISION LAB SERVICES, LLC
Organization
Clinical Medical Laboratory295 INTERLOCKEN BLVD STE 400
BROOMFIELD, CO 80021
(888) 853-5585
1568978914DENVER RECOVERY CENTER, LLC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)295 INTERLOCKEN BLVD STE 400
BROOMFIELD, CO 80021
(888) 853-5585
1710613070 SEAN PALMER
Individual
Social Worker295 INTERLOCKEN BLVD STE 400
BROOMFIELD, CO 80021
(703) 438-7346

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063177640, enumerated in the NPI registry as an "organization" on November 08, 2021

The provider is located at 295 Interlocken Blvd Ste 400 Broomfield, Co 80021 and the phone number is (657) 304-0103

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

This NPI record was last updated on November 08, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.