SPECIAL KIDS SPECIAL FAMILIES


Address: 424 W Pikes Peak Ave, Colorado Springs, CO 80905-1525
Phone: 7194478983

SPECIAL KIDS SPECIAL FAMILIES (NPI# 1013402387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013402387
Entity Type Organization
Organization Name SPECIAL KIDS SPECIAL FAMILIES
Practice Address 424 W Pikes Peak Ave
Colorado Springs
CO 80905-1525
Mailing Address 3830 Stetson Ct
Colorado Springs
CO 80907-4906
Practice Telephone 7194478983
Practice Fax Number 7194479482
Mailing Telephone 7209889511
Mailing Fax Number 7193451820
Enumeration Date 2018-06-28
Last Update Date 2018-06-28
Authorized Official Name LINDA K ELLEGARD (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7194478983
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
CO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 1629515507 05
CO 92608264 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4795 Granby Cir, Colorado Springs, CO 809193131 7194478983 7194479482

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629515507 Special Kids Special Families Respite Care 4795 Granby Cir, Colorado Springs, CO 80919-3131 2017-01-30
1841737731 Special Kids Special Families Day Training, Developmentally Disabled Services 3450 N Nevada Ave, Colorado Springs, CO 80907-5331 2017-01-30
1871659714 Special Kids Special Families Voluntary or Charitable 424 W Pikes Peak Ave, Colorado Springs, CO 80905-1525 2006-12-28
1659866929 Special Kids Special Families Respite Care 424 W Pikes Peak Ave, Colorado Springs, CO 80905-1525 2018-06-28

Office Location

Street Address 424 W PIKES PEAK AVE
City COLORADO SPRINGS
State CO
Zip Code 80905-1525

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871659714 Special Kids Special Families Voluntary or Charitable 424 W Pikes Peak Ave, Colorado Springs, CO 80905-1525 2006-12-28
1659866929 Special Kids Special Families Respite Care 424 W Pikes Peak Ave, Colorado Springs, CO 80905-1525 2018-06-28

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

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Competitor

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City COLORADO SPRINGS
Zip Code 80905

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Dataset Information

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.

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