COUNCIL OF PREVENTIVE & SUPPORTIVE SERVICES FOR THE AGING (NPI# 1275192403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275192403 |
| Entity Type | Organization |
| Organization Name | COUNCIL OF PREVENTIVE & SUPPORTIVE SERVICES FOR THE AGING |
| Practice Address |
503 N 9th St Rocky Ford CO 81067-1219 |
| Mailing Address |
Po Box 793 Rocky Ford CO 81067-0793 |
| Practice Telephone | 7192547547 |
| Practice Fax Number | 7192547547 |
| Mailing Telephone | 7192547547 |
| Mailing Fax Number | 7192547547 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | VICKI SIGLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7192547547 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174200000X | Meals | Other Service Providers |
| Other Name | Type Code |
|---|---|
| SAGE Services, Inc | Doing Business As Name - Organization |
| Street Address |
503 N 9TH ST |
| City | ROCKY FORD |
| State | CO |
| Zip Code | 81067-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124455035 | Joni Anne Stevens | Case Manager/Care Coordinator | 903 S 12th Street, Rocky Ford, CO 81067 | 2013-10-09 |
| 1548554454 | Wendy S. Adrian | Physical Therapist | 900 S. 12th St, Rocky Ford, CO 81067 | 2011-06-08 |
| 1114148780 | Calee Ann Mcclure | Chiropractor | 605 North 9th Street, Rocky Ford, CO 81067 | 2007-05-01 |
| 1902971963 | Dale N Horiuchi | Physical Therapist | 900 South 12th Street, Rocky Ford, CO 81067 | 2006-11-22 |
| 1174626402 | Matthew David Lewis | Family Medicine | 20817 Highway 266, Rocky Ford, CO 81067 | 2006-09-05 |
| 1548338114 | Kathryn A Overmyer | Speech-Language Pathologist | 900 South 12th Street, Rocky Ford, CO 81067 | 2006-12-01 |
| 1881769842 | Mollie R Stuchlik | Occupational Therapist | 900 South 12th Street, Rocky Ford, CO 81067 | 2006-11-22 |
| 1093804171 | Herbert Keiji Mameda | Dentist | 512 N Main St, Rocky Ford, CO 81067 | 2006-10-12 |
| 1013271824 | Lucas Craig Ortega | Chiropractor | 605 N 9th St, Rocky Ford, CO 81067-1013 | 2012-06-26 |
| 1073042586 | Hannah N Muth | Massage Therapist | 605 N 9th St, Rocky Ford, CO 81067-1013 | 2017-06-08 |
| Find all providers in zip 81067 | ||||
| Taxonomy Code | 174200000X |
| Grouping | Other Service Providers |
| Classification | Meals |
| A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| Notes: Source: SD DSS Non-Emergency Medical Transportation program Transportation Services [7/1/2010: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144700097 | Coal Creek Meals On Wheels | Meals | 455 N Burlington Ave, Lafayette, CO 80026-2514 | 2018-08-20 |
| 1588189807 | Meals On Wheels of Boulder, Inc. | Meals | 909 Arapahoe Ave Ste 121, Boulder, CO 80302-6286 | 2017-08-08 |
| 1912209875 | Rocky Mountain Lodging, LLC. | Meals | 960 W Us Highway 50, Pueblo, CO 81008-1607 | 2010-11-29 |
| City | ROCKY FORD |
| Zip Code | 81067 |
Please comment or provide details below to improve the information on COUNCIL OF PREVENTIVE & SUPPORTIVE SERVICES FOR THE AGING.
| 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.