EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC. (NPI# 1659492908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659492908 |
| Entity Type | Organization |
| Organization Name | EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC. |
| Practice Address |
617 S 10th Ave Sterling CO 80751-3426 |
| Mailing Address |
617 S 10th Ave P. O. Box 1682 Sterling CO 80751-3426 |
| Practice Telephone | 9705227121 |
| Practice Fax Number | 9705221173 |
| Mailing Telephone | 9705227121 |
| Mailing Fax Number | 9705221173 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | TRACI SCHRADE (FINANCE DIRECTOR) |
| Authorized Official Telephone | 9705227121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 26454726 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891237939 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 117 Clark St, Sterling, CO 80751-3117 | 2016-11-07 |
| 1679015713 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 120 S 5th Ave, Sterling, CO 80751-3628 | 2016-11-07 |
| 1225570351 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1413 Adams Cir, Sterling, CO 80751-2207 | 2016-11-07 |
| 1861934952 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Non-emergency Medical Transport (VAN) | 618 S 10th Ave, Sterling, CO 80751-3415 | 2016-11-07 |
| 1760924807 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Magnolia Ln, Sterling, CO 80751-2336 | 2016-11-07 |
| 1346782471 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15653 Harris St, Sterling, CO 80751-9135 | 2016-11-07 |
| 1295277333 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 N Division Ave, Sterling, CO 80751-3343 | 2016-11-07 |
| 1134661226 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Non-emergency Medical Transport (VAN) | 903 E Burlington Ave, Fort Morgan, CO 80701-3637 | 2016-11-07 |
| 1689116816 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 823 W 9th St, Julesburg, CO 80737-1097 | 2016-11-04 |
| 1679015812 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 808 Vickie St, Fort Morgan, CO 80701-3730 | 2016-11-04 |
| Street Address |
617 S 10TH AVE |
| City | STERLING |
| State | CO |
| Zip Code | 80751-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134284136 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Case Management | 617 S 10th Ave, Sterling, CO 80751-3426 | 2006-12-27 |
| 1811510274 | Nichole Stone | Occupational Therapist | 617 S 10th Ave, Sterling, CO 80751-3426 | 2020-05-20 |
| 1104203264 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Case Management | 617 S 10th Ave, Sterling, CO 80751-3426 | 2015-04-28 |
| 1013338359 | Eastern Colorado Services for The Dd | Case Management | 617 S 10th Ave, Sterling, CO 80751-3426 | 2014-01-03 |
| 1285892133 | Eastern Colorado Services for The Developmentally Disabled, Inc | Case Management | 617 S 10th Ave, Sterling, CO 80751-3426 | 2008-05-28 |
| 1740301092 | Eastern Colorado Services for The Developmentally Disabled, Inc | Case Management | 617 S 10th Ave, Sterling, CO 80751-3426 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1477018786 | Elizabeth Broadwell | Nurse Practitioner | 12101 Co-61, Sterling, CO 80751 | 2019-01-31 |
| 1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
| 1023487469 | Tappy Health & Wellness, Inc. | Physical Therapist | 309 S Railway St, Sterling, CO 80751 | 2015-09-16 |
| 1033465257 | Patricia Carol Smith | Physical Therapist | 100 Broadway St. Suite 24, Sterling, CO 80751 | 2012-07-25 |
| 1770855900 | Total Renal Care Inc | Clinic/Center | 603 Holly Dr, Sterling, CO 80751 | 2012-02-03 |
| 1609172782 | Keyna I Schlup | Family Medicine | 428 S 2nd St, Sterling, CO 80751 | 2011-02-07 |
| 1871811604 | Alexis Balstad | Obstetrics & Gynecology | 1405 S 8th Ave Suite 105, Sterling, CO 80751 | 2010-05-04 |
| 1770705659 | Donna Bishop Davis | Marriage & Family Therapist | 228 South Third Street, Suite 1, Sterling, CO 80751 | 2007-05-02 |
| 1659406338 | Kimberly Ann Suter | Dentist | 617 W Main Street, Sterling, CO 80751 | 2007-02-22 |
| Find all providers in zip 80751 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184093049 | April Potyondy | Case Manager/Care Coordinator | 1331 Buchanan St, Sterling, CO 80751-2211 | 2015-09-22 |
| 1205010477 | Jamie D Panzero | Case Manager/Care Coordinator | 36745 Fueding Lane, Sterling, AK 99672 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456411 | Nicole Amanda Togun | Case Manager/Care Coordinator | 1290 Chambers Rd Ste 238, Aurora, CO 80011-7117 | 2020-10-28 |
| 1548875321 | Charron Lekisha Johnson | Case Manager/Care Coordinator | 12324 Bannock St Unit 14202, Denver, CO 80234-2156 | 2020-09-09 |
| 1487268041 | A Rise Above Home Care | Case Manager/Care Coordinator | 1485 Golden Hills Rd, Colo Spgs, CO 80919-7928 | 2020-09-01 |
| 1336757566 | Kayla Cupp | Case Manager/Care Coordinator | 125 Crestridge St Ste 1, Fort Collins, CO 80525-3934 | 2020-07-14 |
| 1215558903 | Marissa Faith Swearingen | Case Manager/Care Coordinator | 5809 Brave Eagle Dr, Colorado Springs, CO 80924-2011 | 2020-05-04 |
| 1215558440 | Antonio De Jesus Millan | Case Manager/Care Coordinator | 964 Kingston St, Aurora, CO 80010-4108 | 2020-04-28 |
| 1598391898 | Meredith Marie Hogg | Case Manager/Care Coordinator | 3188 S Ogden St, Englewood, CO 80113-2823 | 2020-03-18 |
| 1629604293 | Colorado Home Care Services LLC | Case Manager/Care Coordinator | 895 Brentwood St, Lakewood, CO 80214-4451 | 2020-03-16 |
| 1487285078 | Berretta Malone | Case Manager/Care Coordinator | 1290 Chambers Rd Apt 2, Aurora, CO 80011-7117 | 2020-01-31 |
| 1306476072 | Rebecca Romelle Paintin | Case Manager/Care Coordinator | 3500 Rockmont Dr, Denver, CO 80202-1070 | 2020-01-22 |
| 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.