Active NPI
Sunkist Moments
- Developmentally Disabled Services Day Training Agency
- Ault, CO
National Provider Identifier
1124410295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.