Waechterfamily LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

WAECHTERFAMILY LLC

Practice address

7799 Whitetail Cir
Wellington, CO 80549-1576

Phone

(970) 568-6034

NPI assigned

May 26, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Katheryn Waechter

Title

Executive Director

Phone

(970) 568-6034

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1093380453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7799 WHITETAIL CIR",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805491576",
            "telephone_number": "970-568-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7799 WHITETAIL CIR",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805491576",
            "telephone_number": "970-568-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAECHTERFAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "WAECHTER",
        "authorized_official_first_name": "KATHERYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "970-568-6034",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiah L. Terranova, PSY.D., LP
• Natasha Trujillo, LPC
• Megan L Twarling, MS, CCC-SLP
• Nichole Vigil
• Dolores Pauline Villa
• Wellington Medical Center LLC (Wellington Medical Center)
• Reginald R. Westphal, D.D.S., M.S.
• Kathryn Ann Wilson, LCSW
• Breanne Winterling
• Vicki Lynn Witmer, N.P.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wellington, CO
• Providers in Wellington, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.