SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC (NPI# 1770021990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770021990 |
| Entity Type | Organization |
| Organization Name | SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC |
| Practice Address |
717 Adams Trinidad CO 81082-3613 |
| Mailing Address |
1205 Congress Dr Trinidad CO 81082-1283 |
| Practice Telephone | 7198463391 |
| Practice Fax Number | 7198464543 |
| Mailing Telephone | 7198463391 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | MR. DUANE ROY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7198464409 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 050708 | CO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 09144247 | 05 | |
| CO | 09140070 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598203713 | Southern Colorado Developmental Disabilities Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 305 Madison St, Trinidad, CO 81082-3736 | 2017-02-08 |
| 1972041192 | Southern Colorado Developmental Disabilities Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1402 Atchison Ave, Trinidad, CO 81082-2282 | 2017-02-08 |
| 1053859611 | Southern Colorado Developmental Disabilities Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 309 E Elder St, Walsenburg, CO 81089-1601 | 2017-02-03 |
| 1508996711 | Southern Colorado Developmental Disabilities Services, Inc | Case Management | 1205 Congress Dr, Trinidad, CO 81082-1283 | 2007-03-06 |
| 1427596642 | Southern Colorado Developmental Disabilities Services, Inc | Case Management | 1205 Congress Dr, Trinidad, CO 81082-1283 | 2017-02-08 |
| 1982142188 | Southern Colorado Developmental Disabilities Services, Inc | Case Manager/Care Coordinator | 415 S Indiana Ave, Trinidad, CO 81082 | 2017-02-08 |
| 1437697653 | Southern Colorado Developmental Disabilities Services, Inc | Case Manager/Care Coordinator | 1205 Congress Dr, Trinidad, CO 81082-1283 | 2017-02-08 |
| Street Address |
717 ADAMS |
| City | TRINIDAD |
| State | CO |
| Zip Code | 81082-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509583 | Crossroads' Turning Points, Inc. | Substance Abuse Rehabilitation Facility | 1004 Carbon Place, Trinidad, CO 81082 | 2020-05-14 |
| 1912427030 | Gwyndolyn Suzanne Snyder | Nurse Practitioner | 1112 Grant Ave, Trinidad, CO 81082 | 2017-06-20 |
| 1336273143 | Online Therapy Services Inc. | Speech-Language Pathologist | 207 E Main, Trinidad, CO 81082 | 2007-03-15 |
| 1023119203 | Paul Andreatta D.d.s.p.c. | Dentist | 1723 E. Main St., Trinidad, CO 81082 | 2006-09-26 |
| 1467400309 | Trinidad Area Health Association | Internal Medicine | 400 Benedicta Ave Ste A, Trinidad, CO 81082 | 2006-05-04 |
| 1235651670 | Kevin Patrick Crosby | Counselor | 417 S Indiana Ave, Trinidad, CO 81082 | 2017-07-07 |
| 1174054928 | Brittany Ladonna Jauernig | Chiropractor | 500 San Juan St, Trinidad, CO 81082 | 2017-03-23 |
| 1982142188 | Southern Colorado Developmental Disabilities Services, Inc | Case Manager/Care Coordinator | 415 S Indiana Ave, Trinidad, CO 81082 | 2017-02-08 |
| 1295001071 | James Ashley Ward | Counselor | 417 S Indiana Ave, Trinidad, CO 81082 | 2012-03-27 |
| 1275704694 | Steven David Blohm | Dentist | 209 E Main, Trinidad, CO 81082 | 2008-03-13 |
| Find all providers in zip 81082 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598203713 | Southern Colorado Developmental Disabilities Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 305 Madison St, Trinidad, CO 81082-3736 | 2017-02-08 |
| 1972041192 | Southern Colorado Developmental Disabilities Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1402 Atchison Ave, Trinidad, CO 81082-2282 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203535 | Special Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2776 S Dunkirk Ct, Aurora, CO 80013-4744 | 2020-10-23 |
| 1083220750 | Liberty Residential LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 923 S Telluride St, Aurora, CO 80017-3346 | 2020-09-18 |
| 1386254019 | Grace Mountain LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6030 Blue Ridge Dr Apt H, Highlands Ranch, CO 80130-3630 | 2020-08-07 |
| 1598381766 | Hand and Heart Host Homes Agency | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 391 S Simms St, Lakewood, CO 80228-2905 | 2020-06-23 |
| 1750907135 | Bianca Alish Lott | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17827 E Mexico Dr, Aurora, CO 80017-5378 | 2020-06-22 |
| 1790300705 | Haset | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 855 S Kalispell Cir Unit 205, Aurora, CO 80017-2098 | 2020-06-15 |
| 1619599826 | Metro Hearts Host Homes Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1192 Sandpiper Ln, Brighton, CO 80601-7391 | 2020-05-11 |
| 1588283550 | Roots, Limited Liability Co. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 436 Purple Plum Ct, Fruita, CO 81521-6205 | 2020-04-10 |
| 1235760497 | Garden Neighbors, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2773 W Long Dr, Littleton, CO 80120-5531 | 2020-01-27 |
| 1386284461 | Integrated Life Choices | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7800 S Elati St Ste 111, Littleton, CO 80120-4400 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.