LAS ANIMAS COUNTY REHABILITATION CENTER NPI 1629429246

NPI Information

NPI: 1629429246
Provider Name: LAS ANIMAS COUNTY REHABILITATION CENTER

Doing Business As: ALTA VISTA ALTERNATIVES

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
415 S INDIANA AVE
TRINIDAD, CO
ZIP 81082
Phone: (719) 846-4631
Get Directions

LAS ANIMAS COUNTY REHABILITATION CENTER is an adult day care clinic center in Trinidad, CO. LAS ANIMAS COUNTY REHABILITATION CENTER NPI is 1629429246. The provider is registered as an organization entity type.
The provider Is Doing Business As Alta Vista Alternatives.

The provider's business location address is:

415 S INDIANA AVE
TRINIDAD, CO
ZIP 81082-126
Phone: (719) 846-4631
Fax: (719) 846-4608

The provider's authorized official is Duane Roy .
The authorized official title is Executive Director and has the following contact phone number (719) 846-3388.

The CLIA number assigned to this NPI record is 06D2232140 - other - group home with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2016 and was last updated on 2/3/2017.

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	License Number	License State	Primary
1	253Z00000X	In Home Supportive Care		04K570	COLORADO	No
2	261QA0600X	Clinic/Center	Adult Day Care			Yes
3	343900000X	Non-emergency Medical Transport (VAN)				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	02133873	MEDICAID	COLORADO
2	09140070	MEDICAID	COLORADO
3	09144247	MEDICAID	COLORADO
4	24353345	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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