NPIMap

Organization Active NPI

Southern Colorado Developmental Disabilities Services, Inc

  • Developmentally Disabled Services Day Training Agency
  • Trinidad, CO
National Provider Identifier
1508996711
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC
Practice address
1205 Congress Dr
Trinidad, CO 81082-1283
Phone
(719) 846-4409
Fax
(719) 846-4543
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Bus 347B00000X

Addresses

Primary practice location

1205 Congress Dr
Trinidad, CO 81082-1283

Mailing address

PO Box 781
Trinidad, CO 81082-0781
Phone (719) 846-4409

Other identifiers 2

IdentifierTypeStateIssuer
59155060MedicaidCO
09144247MedicaidCO

Other names 1

  • Las Animas County Rehabilitation Center, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southern Colorado Developmental Disabilities Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1508996711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810820781",
            "telephone_number": "719-846-4409",
            "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": "719-846-4409",
            "fax_number": "719-846-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "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": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59155060",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09144247",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Animas County Rehabilitation Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trinidad, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.