Cornell Corrections of California, Inc.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

CORNELL CORRECTIONS OF CALIFORNIA, INC.

Doing business as

Southern Peaks Regional Center

Practice address

700 Four Mile Pkwy
Canon City, CO 81212-9114

Phone

(719) 276-7500

Fax

(719) 276-6961

NPI assigned

May 17, 2021

Organization subpart

Yes

Parent organization

CORNELL CORRECTIONS OF CALIFORNIA, INC.As reported in NPPES

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

Authorized official

Name

John Sadler

Title

Sr Business Manager

Phone

(412) 208-4000

Specialties & licenses 1

Addresses

Other names 1

• Southern Peaks Regional Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Psychiatric residential treatment facility certification: CCN 06L017

Legal name

SOUTHERN PEAKS REGIONAL TREATMENT CENTER

Certification status

Active

Provider type (POS)

Psychiatric residential treatment facility

Participating since

Aug 29, 2022

Last certification

May 15, 2025

Beds

152

Ownership / control type

For profit – partnership

Facility address

700 Four Mile Pkwy
Canon City, CO 81212

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cornell Corrections of California Inc3 organizations share this tax ID, including this one

Part of

Cornell Corrections of California Inc

Other organizations with this tax ID 2

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

• Cornell Corrections of California, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Canon City, CO
  • NPI 1376689042
  NPD tax ID
• Cornell Corrections of California, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canon City, CO
  • NPI 1699269142
  NPD tax ID

Locations

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1396319141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 FOUR MILE PKWY",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129114",
            "telephone_number": "719-276-7500",
            "fax_number": "719-276-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FOUR MILE PKWY",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129114",
            "telephone_number": "719-276-7500",
            "fax_number": "719-276-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL CORRECTIONS OF CALIFORNIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNELL CORRECTIONS OF CALIFORNIA, INC.",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "SADLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SR BUSINESS MANAGER",
        "authorized_official_telephone_number": "412-208-4000"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Peaks Regional Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colorado Springs Pediatric Dentistry, PC (Colorado Springs Pediatric Dentistry)
• Amber Conover
• Eugene Robert Cook, LCSW
• Michal Cooling, CNTP, MNT
• Cornell Corrections of California, Inc.
• Cornell Corrections of California, Inc.
• Emily Cornella, FNP-C
• Counseling Hearts
• Counseling Hearts, PLLC
• County of Fremont (Fremont County Department of Public Health & Environment)

• Psychiatric Residential Treatment Facility in Canon City, CO
• Providers in Canon City, CO by specialty
• Psychiatric Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.