STATE OF COLORADO (NPI# 1386818383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386818383 |
| Entity Type | Organization |
| Organization Name | STATE OF COLORADO |
| Other Organization Name | TRINIDAD STATE NURSING HOME STAR CLUB ADULT DAY SERVICES PROGRAM |
| Practice Address |
409 Benedicta Ave Trinidad State Nursing Home Trinidad CO 81082-2004 |
| Mailing Address |
409 Benedicta Ave Trinidad State Nursing Home Star Club Trinidad CO 81082-2004 |
| Practice Telephone | 7198452813 |
| Practice Fax Number | 7198452807 |
| Mailing Telephone | 7198452813 |
| Mailing Fax Number | 7198452807 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-09-26 |
| Authorized Official Name | MR. LEE BURKHOLDER (NURSING HOME ADMINISTRATOR) |
| Authorized Official Telephone | 7198469291 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF COLORADO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | 020796 | CO | Transportation Services |
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
020796 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05654058 | 05 |
| Other Name | Type Code |
|---|---|
| TRINIDAD STATE NURSING HOME STAR CLUB ADULT DAY SERVICES PROGRAM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285168583 | State of Colorado | Point of Service | 1575 Sherman Street, Cdhs, Denver, CO 80203 | 2017-04-13 |
| 1396995601 | State of Colorado | Clinical Medical Laboratory | 1802 Colorado Ave, La Junta, CO 81050-3400 | 2008-09-23 |
| 1750427654 | State of Colorado | Local Education Agency (LEA) | 33 N Institute St, Colorado Springs, CO 80903-3508 | 2007-01-29 |
| 1114085875 | State of Colorado | Skilled Nursing Facility | 3749 Sherman St, Monte Vista, CO 81144 | 2006-12-05 |
| 1508931536 | State of Colorado | Skilled Nursing Facility | 1919 Quentin Street, Aurora, CO 80045 | 2006-11-22 |
| 1033106760 | State of Colorado | Skilled Nursing Facility | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2005-09-27 |
| 1093702722 | State of Colorado | Skilled Nursing Facility | 851 East 5th Street, Rifle, CO 81650-2941 | 2005-09-27 |
| 1669470910 | State of Colorado | Skilled Nursing Facility | 903 Moore Dr, Florence, CO 81226-9509 | 2005-07-11 |
| 1053579177 | State of Colorado | Pharmacy | 1919 Quentin St, Aurora, CO 80045-7125 | 2008-05-27 |
| 1295917938 | State of Colorado | Pharmacy | 1600 W 24th St, Bldg 16, Pueblo, CO 81003-1411 | 2007-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | State of Colorado Foreclosures, LLC | 2525 Arapahoe Ave. Suite E4-402, Boulder, CO 80302 |
| Colorado Business Entities | STATE OF COLORADO INTERDISCIPLINARY COMMITTEE ON CHILD CUSTODY | 357 S. Mccaslin Blvd, Suite 200, Louisville, CO 80027 |
| Street Address |
409 BENEDICTA AVE TRINIDAD STATE NURSING HOME |
| City | TRINIDAD |
| State | CO |
| Zip Code | 81082-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033106760 | State of Colorado | Skilled Nursing Facility | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2005-09-27 |
| 1144843228 | Kandra Selby Kendall | Physical Therapist | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2020-05-22 |
| 1447709837 | Amy Karls | Occupational Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2016-09-26 |
| 1982052452 | Mt Rose Health Center Palliative Care and Hospice Inc | Hospice, Inpatient | 409 Benedicta Ave, Suite A, Trinidad, CO 81082-2004 | 2016-05-25 |
| 1659726578 | Sherri Incitti | Physical Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2016-04-28 |
| 1841657723 | Trinidad Inn Inc | Respite Care | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2016-01-22 |
| 1861890329 | Annie Holgerson | Physical Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2014-12-16 |
| 1356754725 | Lisa Rose Baca | Occupational Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2014-06-03 |
| 1225474901 | Mt Rose Health Center | Legal Medicine | 409 Benedicta Ave, Suite A, Trinidad, CO 81082-0000 | 2013-05-21 |
| 1346597143 | Rebecca Lynne Nolan | Physical Therapy Assistant | 409 Benedicta Ave, Trinidad, CO 81082-2004 | 2012-08-10 |
| Find all providers in the same location | ||||
| 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 | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686399 | 2nd Home Adult Community Center | Clinic/Center | 2990 S Peoria St, Aurora, CO 80014-3152 | 2020-07-20 |
| 1699397901 | Mantra Adult Day Care | Clinic/Center | 10180 E Colfax Ave Ste 205, Aurora, CO 80010-5040 | 2020-05-08 |
| 1255999082 | Lucky You Adult Day Care, LLC | Clinic/Center | 638 Kalamath St, Denver, CO 80204-4425 | 2019-06-05 |
| 1760040174 | Compassion Adult Daycare | Clinic/Center | 1740 S Buckley Rd Unit 11, Aurora, CO 80017-5600 | 2019-05-31 |
| 1568026490 | Njz Memory Care, LLC | Clinic/Center | 9800 E Geddes Ave Ste 50, Englewood, CO 80112-9306 | 2019-04-25 |
| 1629534607 | Hans Adult Day Care LLC | Clinic/Center | 911 S Havana St Ste A, Aurora, CO 80012-3034 | 2019-02-14 |
| 1003380387 | Angel Heart Adult Daycare, LLC | Clinic/Center | 6612 Cottonwood Grove Dr, Colorado Springs, CO 80925-1302 | 2019-01-19 |
| 1780158691 | Second Home LLC | Clinic/Center | 550 S Academy Blvd, Colorado Springs, CO 80910-2636 | 2019-01-14 |
| 1144792912 | Denver Senior Care | Clinic/Center | 1427 S Federal Blvd, Denver, CO 80219-4720 | 2018-12-18 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
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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.