Active NPI
Susan Roussos
- Developmentally Disabled Services Day Training Agency
- Loveland, CO
National Provider Identifier
1467802355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 72023881
- Practice address
- 2980 Sanford Cir
Loveland, CO 80538-4924 - Phone
- (970) 278-9079
- NPI assigned
- Jun 21, 2016
- Last updated
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 72023881 | CO | Primary |
Addresses
Primary practice location
2980 Sanford Cir
Loveland, CO 80538-4924
Mailing address
2980 Sanford Cir
Loveland, CO 80538-4924
Phone (970) 278-9079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72023881 | CO | MD | Developmentally Disabled Services Day Training Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nick's Hope, LLC | Day Training, Developmentally Disabled Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmentally Disabled Services Day Training Agency
- Loveland, CO
- NPI 1033660808
Day Training, Developmentally Disabled Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1467802355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 SANFORD CIR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805384924",
"telephone_number": "970-278-9079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 SANFORD CIR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805384924",
"telephone_number": "970-278-9079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSSOS",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "CO",
"license": "72023881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.