SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC


Address: 415 S Indiana Ave, Trinidad, CO 81082
Phone: 7198464400

SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC (NPI# 1982142188) 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) 1982142188
Entity Type Organization
Organization Name SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC
Practice Address 415 S Indiana Ave
Trinidad
CO 81082
Mailing Address 1205 Congress Dr
Trinidad
CO 81082-1283
Practice Telephone 7198464400
Practice Fax Number 7198464543
Mailing Telephone 7198463391
Mailing Fax Number 7198464543
Enumeration Date 2017-02-08
Last Update Date 2020-01-09
Authorized Official Name MR. DUANE ROY (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7198463391
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171M00000X Case Manager/Care Coordinator Other Service Providers
N 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians
N 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities
N 251B00000X Case Management Agencies
Y 252Y00000X Early Intervention Provider Agency Agencies

Other Provider Identifier

State Issuer Identifier Type Code
CO 09140070 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770021990 Southern Colorado Developmental Disabilities Services, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 717 Adams, Trinidad, CO 81082-3613 2017-02-08
1598203713 Southern Colorado Developmental Disabilities Services, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 305 Madison St, Trinidad, CO 81082-3736 2017-02-08
1972041192 Southern Colorado Developmental Disabilities Services, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1402 Atchison Ave, Trinidad, CO 81082-2282 2017-02-08
1053859611 Southern Colorado Developmental Disabilities Services, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 309 E Elder St, Walsenburg, CO 81089-1601 2017-02-03
1508996711 Southern Colorado Developmental Disabilities Services, Inc Case Management 1205 Congress Dr, Trinidad, CO 81082-1283 2007-03-06
1427596642 Southern Colorado Developmental Disabilities Services, Inc Case Management 1205 Congress Dr, Trinidad, CO 81082-1283 2017-02-08
1437697653 Southern Colorado Developmental Disabilities Services, Inc Case Manager/Care Coordinator 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

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629429246 Las Animas County Rehabilitation Center In Home Supportive Care 415 S Indiana Ave, Trinidad, CO 81082-3126 2016-06-24

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 252Y00000X
Grouping Agencies
Classification Early Intervention Provider Agency

Taxonomy Definition

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467051128 Growful Pediatric Occupational Therapy LLC. Early Intervention Provider Agency 6861 Roaring Fork Trl, Boulder, CO 80301-3630 2020-10-22
1770128852 Denver Behavior Consultants LLC Early Intervention Provider Agency 7091 Boreas Rd, Larkspur, CO 80118-8102 2019-11-12
1952881807 Lindy Miller Gunn Early Intervention Provider Agency 3762 S Lincoln St, Englewood, CO 80113-3622 2018-08-20
1003314980 Hhds Solutions LLC Early Intervention Provider Agency 1597 Meyerwood Cir, Highlands Ranch, CO 80129-1819 2018-01-25
1821458076 Spiric Therapies, LLC Early Intervention Provider Agency 10432 W Dartmouth Ave, Lakewood, CO 80227-5605 2016-03-01
1376917880 Play To Learn Therapies LLC Early Intervention Provider Agency 1785 Kearney St, Denver, CO 80220-1546 2015-11-20
1538566864 Colorado Speech Therapy LLC Early Intervention Provider Agency 700 Bramblebush St, Fort Collins, CO 80524-2199 2014-12-02
1255736732 Kathryn Carduck Warner Early Intervention Provider Agency 1429 Columbine Rd, Colorado Springs, CO 80907-4707 2014-10-27
1396144358 Sensory Explorers Ot, LLC Early Intervention Provider Agency 435 46th Ave, 13, Greeley, CO 80634-1300 2014-08-15
1861800641 Kiddos Connection Physical Therapy Early Intervention Provider Agency 930 S Pearl St, Unit 103, Denver, CO 80209-4262 2014-07-24
Find all providers with the same taxonomy

Competitor

Search similar providers

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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