EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED INC. NPI 1134284136

NPI Information

NPI: 1134284136
Provider Name: EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
617 S 10TH AVE
STERLING, CO
ZIP 80751
Phone: (970) 522-7121
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EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Sterling, CO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC. NPI is 1134284136. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

617 S 10TH AVE
STERLING, CO
ZIP 80751-426
Phone: (970) 522-7121
Fax: (970) 522-1173

The provider's authorized official is Traci Schrade .
The authorized official title is Finance Director and has the following contact phone number (970) 522-7121.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 2/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	152W00000X	Optometrist		No
2	171M00000X	Case Manager/Care Coordinator		No
3	171WH0202X	Contractor	Home Modifications	No
4	171WV0202X	Contractor	Vehicle Modifications	No
5	251B00000X	Case Management		No
6	252Y00000X	Early Intervention Provider Agency		No
7	261QD1600X	Clinic/Center	Developmental Disabilities	No
8	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Yes
9	251C00000X	Day Training, Developmentally Disabled Services		No
10	251S00000X	Community/Behavioral Health		No
11	373H00000X	Day Training/Habilitation Specialist		No
12	385H00000X	Respite Care		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	09141888	MEDICAID	COLORADO
2	64155048	MEDICAID	COLORADO
3	09145855	MEDICAID	COLORADO
4	26454726	MEDICAID	COLORADO
5	09139585	MEDICAID	COLORADO
6	76708560	MEDICAID	COLORADO
7	16155050	MEDICAID	COLORADO
8	46135073	MEDICAID	COLORADO
9	52135071	MEDICAID	COLORADO
10	14155079	MEDICAID	COLORADO
11	13155041	MEDICAID	COLORADO
12	62155041	MEDICAID	COLORADO
13	09141870	MEDICAID	COLORADO
14	09147091	MEDICAID	COLORADO
15	09140732	MEDICAID	COLORADO
16	57125058	MEDICAID	COLORADO
17	51155061	MEDICAID	COLORADO
18	46135057	MEDICAID	COLORADO
19	63135035	MEDICAID	COLORADO
20	09139767	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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