BLUE PEAKS DEVELOPMENTAL SERVICES INC. (NPI# 1396283818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396283818 |
| Entity Type | Organization |
| Organization Name | BLUE PEAKS DEVELOPMENTAL SERVICES INC. |
| Other Organization Name | POWELL HOUSE |
| Practice Address |
6477 S. 106.25 Mauloff Rd Alamosa CO 81101-8775 |
| Mailing Address |
703 4th St Alamosa CO 81101-2524 |
| Practice Telephone | 7195895135 |
| Practice Fax Number | 7195890680 |
| Mailing Telephone | 7195895135 |
| Mailing Fax Number | 7195890680 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | ANITA M KINSEY (FINANCE DIRECTOR) |
| Authorized Official Telephone | 7195895135 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | 05R242 | CO | Transportation Services |
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 05R242 | CO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000134726 | 05 |
| Other Name | Type Code |
|---|---|
| Powell House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275071888 | Blue Peaks Developmental Services Inc. | Non-emergency Medical Transport (VAN) | 4415 Curley Rd, Alamosa, CO 81101-9789 | 2017-02-02 |
| 1023556735 | Blue Peaks Developmental Services Inc. | Non-emergency Medical Transport (VAN) | 9205 Stanley Rd, Alamosa, CO 81101-9785 | 2017-02-02 |
| 1033657648 | Blue Peaks Developmental Services Inc. | Non-emergency Medical Transport (VAN) | 13379 E Us Highway 160, Alamosa, CO 81101-9647 | 2017-02-02 |
| 1245778950 | Blue Peaks Developmental Services Inc. | Non-emergency Medical Transport (VAN) | 8586 Cool Sunshine Cir, Alamosa, CO 81101-9623 | 2017-02-02 |
| 1760929202 | Blue Peaks Developmental Services Inc. | Non-emergency Medical Transport (VAN) | 304 Davis St, Monte Vista, CO 81144-1204 | 2017-01-23 |
| Street Address |
6477 S. 106.25 MAULOFF RD |
| City | ALAMOSA |
| State | CO |
| Zip Code | 81101-8775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909325 | Tiffanie Nicole Hoover | Nurse Practitioner | Slv Health, 106 Blanca Ave, Alamosa, CO 81101 | 2018-04-11 |
| 1629503669 | Early Oral Health Interception LLC | Dental Hygienist | 235 Carson Avenue, Alamosa, CO 81101 | 2017-04-27 |
| 1477917391 | Mary Sawyer | Nurse Practitioner | San Luis Valley Health106 Blanca Ave, Alamosa, CO 81101 | 2016-04-06 |
| 1508221276 | Kendal W Humes | Counselor | 1460 W 8th Street, Unit 13, Alamosa, CO 81101 | 2015-12-23 |
| 1689096422 | Julia Toczek | Counselor | 8745 County Road 9s, Alamosa, CO 81101 | 2014-01-14 |
| 1275883365 | Michelle Marie Craver | Counselor | 8745 County Road 9 South, Alamosa, CO 81101 | 2012-09-15 |
| 1417193079 | Slv Eye Docs, LLC | Optometrist | 706 Del Sol Dr, Alamosa, CO 81101 | 2008-12-31 |
| 1770753154 | Huh Inc | Hearing Instrument Specialist | 2101 Main St., Ste C Ears 2 U Hearing Aid Services, Alamosa, CO 81101 | 2008-03-03 |
| 1215139613 | Valley-wide Health System, Inc. | Pharmacist | 1710 1st Street, Alamosa, CO 81101 | 2007-06-05 |
| 1821204116 | Valerie Stephanie Gurule-duran | Counselor | 8745 Cr 9 South, Alamosa, CO 81101 | 2007-05-15 |
| Find all providers in zip 81101 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1235760521 | A Safe Place In Pagosa, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 459 Lewis Street, Pagosa Springs, CO 81147 | 2020-01-27 |
| 1649836982 | Esther House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1051 Lima St, Aurora, CO 80010-3701 | 2019-05-13 |
| 1730742297 | Mesa Developmental Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 309 Kava Way, Grand Junction, CO 81503-3153 | 2019-04-19 |
| 1013570571 | Mesa Developmental Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3301 Laurel Ln, Clifton, CO 81520-8123 | 2019-04-19 |
| 1083106744 | Jon W. Baker Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3835 Mckay Rd, Colorado Springs, CO 80906-5707 | 2018-05-30 |
| 1710483714 | Lighthouse Residenital | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10200 W 44th Ave Ste 400b, Wheat Ridge, CO 80033-6826 | 2018-03-30 |
| 1952816795 | Sozo Sss International LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6324 S Sicily Way, Aurora, CO 80016-7009 | 2017-12-01 |
| 1457875999 | Sandra Douglas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3109 66th Ave, Greeley, CO 80634-8932 | 2017-07-26 |
| 1356876700 | Our Family Care Home Assisted Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1169 Johnson Street, Lakewood, CO 80215 | 2017-04-24 |
| 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.