Organization Active NPI

Sunkist Moments

  • Developmentally Disabled Services Day Training Agency
  • Ault, CO
National Provider Identifier
1124410295
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SUNKIST MOMENTS
Practice address
325 E 1St St
#411
Ault, CO 80610-9667
Phone
(641) 680-3087
Fax
(970) 834-1287
NPI assigned
Feb 26, 2015
Last updated
Feb 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Ms. Nickole Marie Behrends
Title
Program Director
Phone
(641) 680-3087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X CO Primary

Addresses

Primary practice location

325 E 1St St
#411
Ault, CO 80610-9667

Mailing address

325 E 1St St
#411
Ault, CO 80610-9667
Phone (641) 680-3087

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1124410295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E 1ST ST",
            "address_2": "#411",
            "city": "AULT",
            "state": "CO",
            "postal_code": "806109667",
            "telephone_number": "641-680-3087",
            "fax_number": "970-834-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E 1ST ST",
            "address_2": "#411",
            "city": "AULT",
            "state": "CO",
            "postal_code": "806109667",
            "telephone_number": "641-680-3087",
            "fax_number": "970-834-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNKIST MOMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "BEHRENDS",
        "authorized_official_first_name": "NICKOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "641-680-3087",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ault, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.