NPIMap

Organization Active NPI

Eastern Colorado Services for the Developmentally Disabled, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sterling, CO
National Provider Identifier
1295277333
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
05O105 Issued in CO
Legal business name
EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC.
Practice address
223 N Division Ave
Sterling, CO 80751-3343
Phone
(970) 522-7121
Fax
(970) 522-1173
NPI assigned
Nov 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Authorized official

Name
Traci Schrade
Title
Finance Director
Phone
(970) 522-7121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 05O105 CO Primary

Addresses

Primary practice location

223 N Division Ave
Sterling, CO 80751-3343

Mailing address

PO Box 1682
Sterling, CO 80751-1682
Phone (970) 522-7121

Other identifiers 1

IdentifierTypeStateIssuer
09141870MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Eastern Colorado Services for the Developmentally Disabled Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737849600000",
    "number": "1295277333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1682",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807511682",
            "telephone_number": "970-522-7121",
            "fax_number": "970-522-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N DIVISION AVE",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513343",
            "telephone_number": "970-522-7121",
            "fax_number": "970-522-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A",
        "authorized_official_last_name": "SCHRADE",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "970-522-7121"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CO",
            "license": "05O105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09141870",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; 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.