State Of Colorado in Trinidad - Adult Day Care

State Of Colorado - NPI 1386818383

State Of Colorado is a Adult Day Care in Trinidad, Colorado. State Of Colorado practices all healthcare services and medical treatments related to Adult Day Care. The NPI Number for State Of Colorado is 1386818383. The last update date is 2008-09-26.

State Of Colorado's current location address is 409 Benedicta Ave, Trinidad, Colorado. You can contact this provider via phone number 7198452813 and fax number 7198452807. The mailing address for State Of Colorado is 409 Benedicta Ave, Trinidad, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Colorado
Address 409 Benedicta Ave, Trinidad, Colorado
Phone Number 7198452813
Fax Number 7198452807
Sole Proprietor --
Credentials --

Authorized Official

Title or Position NURSING HO
Authorized Official Name Burkholder Lee
Telephone Number 7198469291

NPI Number Detail

NPI Number 1386818383
Provider Enumeration Date 2008-04-22
Last Updated Date 2008-09-26

Provider Mailing Address Detail

Address 409 Benedicta Ave
City Trinidad
State Colorado (CO)
Post Code 810822004
Phone Number 7198452813
Fax Number 7198452807

Provider's Primary Taxonomy Detail

Speciality Adult Day Care
Taxonomy 261Qa0600X
Licence No 20796
Definition:
Provides health, therapeutic and social services to impaired older adults and disabled individuals during daytime hours.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5654058 CO --

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FAQs about State Of Colorado

What is the unique provider identifier assigned to State Of Colorado?

The State Of Colorado has been issued the NPI (National Provider Identifier) 1386818383 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where State Of Colorado is geographically located?

The State Of Colorado is physically situated at the following location: 409 Benedicta Ave, Trinidad, CO, 810822004.

What is the State Of Colorado's area of specialization and corresponding taxonomy classification?

The State Of Colorado's specialty field is Adult Day Care, and it falls under the taxonomy code 261Qa0600X, which categorizes healthcare providers based on their specialties.

On what date did the State Of Colorado receive the assignment of its 1386818383 from the Centers for Medicare & Medicaid Services?

The State Of Colorado was issued its 1386818383 by the Centers for Medicare & Medicaid Services on 2008-04-22.

As of what date were the State Of Colorado's details last updated?

The information pertaining to the State Of Colorado, including its address, specialty, and other details, was most recently updated on 2008-09-26.

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