Southern Colorado Developmental Disabilities Services, INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Trinidad, CO. Organization (NPI-2).
NPI number1972041192
StatusActive
Last updated in NPPESSep 29, 2025
Details
- NPI
- 1972041192
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Colorado Developmental Disabilities Services, INC
- Organization subpart
- Yes
- Enumeration date
- Feb 8, 2017
- Certification date
- Sep 29, 2025
- Last updated
- Sep 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 347B00000X | Bus | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – |
Other names
- Vista Del Rae Group Home (Other Name)
Practice location
1402 Atchison AveTrinidad, CO 81082-2282
Phone 719-846-3391
Mailing address
1205 Congress DrTrinidad, CO 81082-1283
Phone 719-846-3391
Authorized official
Duane Roy
Executive Director
7198464409
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