Blue Peaks Developmental Services Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Alamosa, CO

NPI 1033657648 · NPPES record last updated Feb 23, 2017

Key facts

NPI
1033657648
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
License
05Y768 (CO)
Legal business name
BLUE PEAKS DEVELOPMENTAL SERVICES INC.
Practice address
13379 E US Highway 160
Alamosa, CO 81101-9647
Phone
(719) 589-5135
Fax
(719) 589-0680
NPI assigned
Feb 2, 2017
Organization subpart
No

Authorized official

Name
Anita M Kinsey
Title
Finance Director
Phone
(719) 589-5135

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Blue Peaks Developmental Services Inc (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 05Y768 CO Yes
Non-emergency Medical Transport (VAN) 343900000X 05Y768 CO

Addresses

Primary practice location

13379 E US Highway 160
Alamosa, CO 81101-9647

Mailing address

703 4TH St
Alamosa, CO 81101-2524
Phone (719) 589-5135

Other identifiers

IdentifierTypeStateIssuer
35655038MedicaidCO

Other names

  • Haaff House Other name

Other providers in Alamosa, CO

All providers in Alamosa, CO · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Colorado

Sources for this page

Verify at the official NPI Registry.