Blue Peaks Developmental Services Inc
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Alamosa, CO
NPI 1316484124 · NPPES record last updated Feb 22, 2017
Key facts
- NPI
- 1316484124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- 051050 (CO)
- Legal business name
- BLUE PEAKS DEVELOPMENTAL SERVICES INC
- Practice address
- 1001 State Ave
Alamosa, CO 81101-3346 - Phone
- (719) 589-5135
- Fax
- (719) 589-0680
- NPI assigned
- Jan 31, 2017
- Organization subpart
- No
Authorized official
- Name
- Anita M Kinsey
- Title
- Finance Director
- Phone
- (719) 589-5135
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Blue Peaks Developmental Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 051050 | CO | Yes |
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
1001 State Ave
Alamosa, CO 81101-3346
Mailing address
703 4TH St
Alamosa, CO 81101-2524
Phone (719) 589-5135
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09139718 | Medicaid | CO |
Other names
- Spencer House
Other providers in Alamosa, CO
- Debora Ann Black
- Amy Nicole Blakeslee
- Kelly Jean Bleakney
- Blue Peaks Developmental Services Inc
- Blue Peaks Developmental Services Inc
- Blue Peaks Developmental Services Inc
- Blue Peaks Developmental Services Inc
- Blue Peaks Developmental Services Inc.
- Blue Peaks Developmental Services Inc.
- Blue Peaks Developmental Services Inc.
All providers in Alamosa, CO · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.