Eastern Colorado Services For The Developmentally Disabled, Inc., NPI 1679015713
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sterling, CO, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1679015713 |
| NPI Entity Type | Organization |
| Provider Name | Eastern Colorado Services For The Developmentally Disabled, Inc. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 120 S 5th Ave, Sterling, CO, US |
| Provider Mailing Address | Po Box 1682, Sterling, CO, US, 807511682 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Traci Schrade |
| Official Position | FINANCE DIRECTOR |
| Phone | 970-522-7121 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Classification |
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Group | |
| License No. | 05O112 |
| License State | CO |
| Description | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 09145855 | CO | MEDICAID | 05 |
| 16155050 | CO | MEDICAID | 05 |
| 26402 | CO | MEDICAID | 05 |
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