Las Animas County Rehabilitation Center, Inc
LBN: Southern Colorado Developmental Disabilities Services, Inc
Las Animas County Rehabilitation Center, Inc is an health care organization with primary practice located at 309 E Elder St , Walsenburg CO 81089-1601. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Suppliers / Durable Medical Equipment & Medical Supplies, Transportation Services / Bus. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty.
Southern Colorado Developmental Disabilities Services, Inc can be contacted via phone (719) 894-6454, or through Roy, Duane via phone (719) 846-4409.
Contact Information
Primary practice address
309 E Elder St
Walsenburg CO 81089-1601
Phone: (719) 894-6454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 0507X0 | Colorado |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Transportation Services / Bus | 347B00000X |
Profile Details
| NPI number | 1053859611 |
|---|---|
| LBN Legal business name | Southern Colorado Developmental Disabilities Services, Inc |
| DBA Doing business as | Las Animas County Rehabilitation Center, Inc |
| Authorized official | Roy, Duane |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 3rd, 2017 |
| Last updated | Oct 23rd, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053859611 | NPPES |
| Colorado | MEDICAID | 09144247 | |
| Colorado | MEDICAID | 09140070 |
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