Las Animas County Rehabilitation Center

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

LAS ANIMAS COUNTY REHABILITATION CENTER

Practice address

1205 Congress Dr
Trinidad, CO 81082-1283

Phone

(719) 846-3391

Fax

(719) 846-4543

NPI assigned

Feb 8, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Duane Roy

Title

Executive Director

Phone

(719) 846-4409

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Alta Vista Alternatives2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Las Animas County Rehabilitation Center

  • Adult Day Care Clinic/Center
  • Trinidad, CO
  • NPI 1629429246
  NPD tax ID

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1316485535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 CONGRESS DR",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810821283",
            "telephone_number": "719-846-3391",
            "fax_number": "719-846-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 CONGRESS DR",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810821283",
            "telephone_number": "719-846-3391",
            "fax_number": "719-846-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS ANIMAS COUNTY REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-846-4409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24353345",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09140070",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02133873",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09144247",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Luis Larsen, DDS
• Beverly Larson
• Teresa Larson, DIETITIAN
• Las Animas County Department of Social Services
• Las Animas County Department of Social Services
• Las Animas County Rehabilitation Center
• Las Animas Emergency Group LLC
• Las Animas-Huerfano Counties District Health Department
• Karen Lavigne, L.M.T.
• Lees Hearing Solutions, LLC.

• Non-emergency Medical Transport (VAN) in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Non-emergency Medical Transport (VAN) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.