LAS ANIMAS COUNTY REHABILITATION CENTER


Address: 415 S Indiana Ave, Trinidad, CO 81082-3126
Phone: 7198464631

LAS ANIMAS COUNTY REHABILITATION CENTER (NPI# 1629429246) 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) 1629429246
Entity Type Organization
Organization Name LAS ANIMAS COUNTY REHABILITATION CENTER
Other Organization Name ALTA VISTA ALTERNATIVES
Practice Address 415 S Indiana Ave
Trinidad
CO 81082-3126
Mailing Address 1205 Congress Dr
Trinidad
CO 81082-1283
Practice Telephone 7198464631
Practice Fax Number 7198464608
Mailing Telephone 7198463388
Mailing Fax Number 7198464543
Enumeration Date 2016-06-24
Last Update Date 2017-02-03
Authorized Official Name MR. DUANE ROY (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7198463388
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 253Z00000X In Home Supportive Care 04K570 CO Agencies
N 343900000X Non-emergency Medical Transport (VAN) Transportation Services
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 24353345 05
CO 09140070 05
CO 02133873 05
CO 09144247 05

Other Provider/Organization Names

Other Name Type Code
Alta Vista Alternatives Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316485535 Las Animas County Rehabilitation Center Non-emergency Medical Transport (VAN) 1205 Congress Dr, Trinidad, CO 81082-1283 2017-02-08

Office Location

Street Address 415 S INDIANA AVE
City TRINIDAD
State CO
Zip Code 81082-3126

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982142188 Southern Colorado Developmental Disabilities Services, Inc Case Manager/Care Coordinator 415 S Indiana Ave, Trinidad, CO 81082 2017-02-08

Providers in the same zip code

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
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
1922140185 Martha Mangino Counselor 417 S Indiana Ave, Trinidad, CO 81082 2007-02-13
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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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Competitor

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City TRINIDAD
Zip Code 81082

Improve Information

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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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