SOUTHEAST WELLNESS WORKS (NPI# 1710528500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710528500 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST WELLNESS WORKS |
| Practice Address |
101 E Lowell St Eads CO 81036-9683 |
| Mailing Address |
711 Barnes Ave La Junta CO 81050-2138 |
| Practice Telephone | 7193845446 |
| Practice Fax Number | 7193845672 |
| Mailing Telephone | 7193845446 |
| Mailing Fax Number | 7193845672 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | CAROL A ARAGON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7193835408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000165774 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144861097 | Southeast Wellness Works | Community/Behavioral Health | 138 6th St, Las Animas, CO 81054-1267 | 2019-10-02 |
| 1639710577 | Southeast Wellness Works | Community/Behavioral Health | 189 E 9th Ave, Springfield, CO 81073-1601 | 2019-10-02 |
| 1932740347 | Southeast Wellness Works | Community/Behavioral Health | 3500 1st St S, Lamar, CO 81052-4327 | 2019-10-07 |
| 1437709003 | Southeast Wellness Works | Community/Behavioral Health | 404 N Main St, Rocky Ford, CO 81067-1256 | 2019-09-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Southeast Wellness Works LLC | 711 Barnes Avenue, La Junta, CO 81050 |
| Street Address |
101 E LOWELL ST |
| City | EADS |
| State | CO |
| Zip Code | 81036-9683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184265985 | Southeast Mental Health Services | Clinic/Center | 101 E Lowell St, Eads, CO 81036-9683 | 2019-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326488982 | Prairie Pines | Assisted Living Facility | 101 E Lowell Ave, Eads, CO 81036 | 2013-06-27 |
| 1053436220 | Kiowa County Dept of Social Services | Bus | 1307 Maine St., Eads, CO 81036 | 2007-03-20 |
| 1538235841 | Kiowa Home Health Services | Home Health | 311 W 12th St, Eads, CO 81036 | 2006-11-28 |
| 1659464709 | County of Kiowa Hospital District | Clinic/Center | 1211 Luther St, Eads, CO 81036 | 2006-10-02 |
| 1366452732 | County of Kiowa Hospital District | General Acute Care Hospital | 1208 Luther Street, Eads, CO 81036 | 2006-08-09 |
| 1700413895 | Michael Briggs Archer Sr. | Nurse Practitioner | 1208 Luther Street, Eads, CO 81036 | 2020-03-26 |
| 1013422310 | Jessica Rayleen Hyman | Nurse Practitioner | 1211 Luther Street, Eads, CO 81036 | 2017-12-08 |
| 1679917207 | County of Kiowa Hospital District | Nursing Facility/Intermediate Care Facility | 1208 Luther St, Eads, CO 81036 | 2013-04-25 |
| 1700115938 | County of Kiowa Hospital District | General Practice | 1208 Luther Street, Eads, CO 81036 | 2009-12-17 |
| 1265695993 | Kiowa County Hospital District | Family Medicine | 1211 Luther Street, Eads, CO 81036 | 2008-07-02 |
| Find all providers in zip 81036 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255515011 | M-power, Inc. | Community/Behavioral Health | 11935 Stable View Dr, Eads, TN 38028-6968 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407687 | Rrk Enterprise | Community/Behavioral Health | 4300 Kalamath St, Denver, CO 80211-2417 | 2020-11-08 |
| 1558960922 | Warrior Tree Counseling, LLC | Community/Behavioral Health | 29 Bluebird Ln, Bailey, CO 80421-2005 | 2020-10-18 |
| 1760080386 | Adventure Learning Behavioral Interventions | Community/Behavioral Health | 5423 Spoked Wheel Dr, Colorado Springs, CO 80923-8741 | 2020-10-15 |
| 1831797562 | Cairn Counseling | Community/Behavioral Health | 1475 W Dakota Ave, Denver, CO 80223-2008 | 2020-10-14 |
| 1649887035 | Neuropsychological Assessments of Colorado, Professional LLC | Community/Behavioral Health | 7105 S Titus St, Aurora, CO 80016-7560 | 2020-09-29 |
| 1558977272 | Chrysalis Continuing Care, LLC | Community/Behavioral Health | 3254 Larimer St, Denver, CO 80205-2314 | 2020-09-17 |
| 1194330928 | Michelle Garcia Lmft | Community/Behavioral Health | 304 Albion Way, Fort Collins, CO 80526-3238 | 2020-09-09 |
| 1326651621 | Kuumba Therapy, LLC | Community/Behavioral Health | 2376 Central Park Blvd, Ste 100, Denver, CO 80238 | 2020-08-26 |
| 1942818869 | Naomi Victoria Akwei-esterline | Community/Behavioral Health | 2640 W 26th Ave, Suite 217, Denver, CO 80211 | 2020-07-16 |
| 1073139770 | Kjs Counseling and Consulting | Community/Behavioral Health | 41 Tassels Loop, Breckenridge, CO 80424-8814 | 2020-06-18 |
| 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.