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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 26387 | 05 | |
CO | 09145855 | 05 | |
CO | 09139767 | 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 |
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 |
Street Address |
823 W 9TH ST |
City | JULESBURG |
State | CO |
Zip Code | 80737-1097 |
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 |
Find all providers in zip 80737 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
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] |
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 |
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.