Active NPI
Stellar Care and Services, LLC
- Child Intellectual and/or Developmental Disabilities Respite Care
- Colorado Springs, CO
National Provider Identifier
1497071930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- STELLAR CARE AND SERVICES, LLC
- Practice address
- 1150 Elkton Dr
Colorado Springs, CO 80907-3534 - Phone
- (719) 344-8931
- NPI assigned
- Apr 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Hedden
- Title
- Owner/Ceo
- Phone
- (719) 344-8931
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Private Vehicle | 347C00000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
Primary practice location
1150 Elkton Dr
Colorado Springs, CO 80907-3534
Mailing address
1150 Elkton Dr
Colorado Springs, CO 80907-3534
Phone (719) 344-8931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21076065 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Stellar Care and Services LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Fort Collins, CO
- NPI 1215391412
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Westminster, CO
- NPI 1326402512
-
- Developmentally Disabled Services Day Training Agency
- Colorado Springs, CO
- NPI 1427508589
Locations
1150 Elkton Dr
Colorado Springs, CO 80907
Phone (719) 344-8931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631491200000",
"number": "1497071930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 ELKTON DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809073534",
"telephone_number": "719-344-8931",
"fax_number": "866-372-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 ELKTON DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809073534",
"telephone_number": "719-344-8931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STELLAR CARE AND SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-08",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A",
"authorized_official_last_name": "HEDDEN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "719-344-8931",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21076065",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.