Special Outings, Activities, and Recreations LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

SPECIAL OUTINGS, ACTIVITIES, AND RECREATIONS LLC

Practice address

9465 W Hinsdale PL
Littleton, CO 80128-4168

Phone

(720) 329-2796

NPI assigned

Mar 29, 2019

Organization subpart

No

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

Authorized official

Name

Sydney Starr Jackson-Clockston

Title

Co-Owner/ Activities Director

Phone

(720) 329-2796

Specialties & licenses 5

Addresses

Other names 1

• SOAR Doing business as

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1609337773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9465 W HINSDALE PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284168",
            "telephone_number": "720-329-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9465 W HINSDALE PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801284168",
            "telephone_number": "720-329-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL OUTINGS, ACTIVITIES, AND RECREATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON-CLOCKSTON",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "STARR",
        "authorized_official_title_or_position": "CO-OWNER/ ACTIVITIES DIRECTOR",
        "authorized_official_telephone_number": "720-329-2796"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Child Intellectual and/or Developmental Disabilities Respite Care in Littleton, CO
• Providers in Littleton, CO by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.