Organization Active NPI

Cast Colorado, LLC.

  • Substance Abuse Rehabilitation Facility
  • La Jara, CO
National Provider Identifier
1073361440
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CAST COLORADO, LLC.
Practice address
15 Spruce St.
La Jara, CO 81140
Phone
(719) 206-4673
Fax
(719) 435-4228
NPI assigned
May 9, 2024
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Reed
Title
Co-Founder. Ceo. Vice-Chairman, & O
Phone
(720) 833-8453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

15 Spruce St.
La Jara, CO 81140

Mailing address

1317 17TH St
Alamosa, CO 81101-3555
Phone (719) 206-4673

Other practice location 1

15 Spruce Street
La Jara, CO 81140
Phone (719) 206-4673

Other identifiers 1

IdentifierTypeStateIssuer
9000231317MedicaidCO

National Provider Directory

National Provider Directory

Locations

1317 17th St
Alamosa, CO 81101
Phone (719) 206-4673

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1073361440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 17TH ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811013555",
            "telephone_number": "719-206-4673",
            "fax_number": "719-435-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPRUCE ST.",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "81140",
            "telephone_number": "719-206-4673",
            "fax_number": "719-435-4228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Spruce Street",
            "address_purpose": "LOCATION",
            "city": "La Jara",
            "state": "CO",
            "postal_code": "81140",
            "country_code": "US",
            "telephone_number": "719-206-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAST COLORADO, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CO-FOUNDER. CEO. VICE-CHAIRMAN, & O",
        "authorized_official_telephone_number": "720-833-8453"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000231317",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jara, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.