EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC.


Address: 823 W 9th St, Julesburg, CO 80737-1097
Phone: 9705227121

EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC. (NPI# 1689116816) 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) 1689116816
Entity Type Organization
Organization Name EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC.
Practice Address 823 W 9th St
Julesburg
CO 80737-1097
Mailing Address Po Box 1682
Sterling
CO 80751-1682
Practice Telephone 9705227121
Practice Fax Number 9705221173
Mailing Telephone 9705227121
Mailing Fax Number 9705221173
Enumeration Date 2016-11-04
Last Update Date 2017-02-23
Authorized Official Name TRACI SCHRADE (FINANCE DIRECTOR)
Authorized Official Telephone 9705227121
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 05O142 CO Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 26387 05
CO 09145855 05
CO 09139767 05

Other Provider IDs and Locations

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
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
1134284136 Eastern Colorado Services for The Developmentally Disabled, Inc. Case Management 617 S 10th Ave, Sterling, CO 80751-3426 2006-12-27

Office Location

Street Address 823 W 9TH ST
City JULESBURG
State CO
Zip Code 80737-1097

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093941494 Abts Pharmacy LLC Pharmacy 121 Cedar Street, Julesburg, CO 80737 2009-05-31
1932192226 Douglas Lee Kruckner Family Medicine 900 Cedar St, Julesburg, CO 80737 2005-08-23
1356574859 Health Care Partners Foundation Inc Clinic/Center 502 W 8th St, Julesburg, CO 80737-1015 2009-08-31
1053326736 Lisa Regier Physician Assistant 116 E 9th St, Julesburg, CO 80737-1100 2006-07-30
1407863871 Michael Lipnick Family Medicine 116 E 9th St, Julesburg, CO 80737-1100 2006-08-01
1316954787 Ronald Cooper Physician Assistant 116 E 9th St, Julesburg, CO 80737-1100 2006-08-01
1164439535 Donald Dean Regier Family Medicine 116 E 9th St, Julesburg, CO 80737-1100 2006-08-01
1073647459 Segwick County Heatlh Center Nursing Facility/Intermediate Care Facility 901 Cedar St, Julesburg, CO 80737-1120 2007-03-15
1649894858 Obstetrix Medical Group of Colorado, P.C. Pediatrics 900 Cedar St, Julesburg, CO 80737-1121 2020-06-03
1891069019 Banner Health Physicians Colorado LLC General Acute Care Hospital 900 Cedar St, Julesburg, CO 80737-1121 2012-03-06
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982203535 Special Care Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2776 S Dunkirk Ct, Aurora, CO 80013-4744 2020-10-23
1083220750 Liberty Residential LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 923 S Telluride St, Aurora, CO 80017-3346 2020-09-18
1386254019 Grace Mountain LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6030 Blue Ridge Dr Apt H, Highlands Ranch, CO 80130-3630 2020-08-07
1598381766 Hand and Heart Host Homes Agency Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 391 S Simms St, Lakewood, CO 80228-2905 2020-06-23
1750907135 Bianca Alish Lott Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17827 E Mexico Dr, Aurora, CO 80017-5378 2020-06-22
1790300705 Haset Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 855 S Kalispell Cir Unit 205, Aurora, CO 80017-2098 2020-06-15
1619599826 Metro Hearts Host Homes Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1192 Sandpiper Ln, Brighton, CO 80601-7391 2020-05-11
1588283550 Roots, Limited Liability Co. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 436 Purple Plum Ct, Fruita, CO 81521-6205 2020-04-10
1235760497 Garden Neighbors, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2773 W Long Dr, Littleton, CO 80120-5531 2020-01-27
1386284461 Integrated Life Choices Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7800 S Elati St Ste 111, Littleton, CO 80120-4400 2020-01-07
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Competitor

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City JULESBURG
Zip Code 80737

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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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