NPIMap

Organization Active NPI

Southeastern Developmental Services, Inc

  • Case Management Agency
  • Lamar, CO
National Provider Identifier
1609407899
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SOUTHEASTERN DEVELOPMENTAL SERVICES, INC
Practice address
1104 S 4TH St
Lamar, CO 81052-3805
Phone
(719) 336-3244
Fax
(719) 336-3898
NPI assigned
Jan 28, 2020
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Kristina Fiene
Title
Finance/HR Assistant
Phone
(719) 336-3244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1104 S 4TH St
Lamar, CO 81052-3805

Mailing address

PO Box 328
Lamar, CO 81052-0328
Phone (719) 336-3244

National Provider Directory

National Provider Directory
Tax ID family
S E Developmental Services Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

1104 S 4th St
Lamar, CO 81052
Phone (719) 336-3244

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1609407899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810520328",
            "telephone_number": "719-336-3244",
            "fax_number": "719-336-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 S 4TH ST",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523805",
            "telephone_number": "719-336-3244",
            "fax_number": "719-336-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN DEVELOPMENTAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "FIENE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "FINANCE/HR ASSISTANT",
        "authorized_official_telephone_number": "719-336-3244"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamar, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.