Las Animas County Rehabilitation Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LAS ANIMAS COUNTY REHABILITATION CENTER

Practice address

415 S Indiana Ave
Trinidad, CO 81082-3126

Phone

(719) 846-4631

Fax

(719) 846-4608

NPI assigned

Jun 24, 2016

Organization subpart

No

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) 846-3388

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Alta Vista Alternatives Doing business as

Tax ID family

Alta Vista Alternatives2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Las Animas County Rehabilitation Center

  • Non-emergency Medical Transport (VAN)
  • Trinidad, CO
  • NPI 1316485535
  NPD tax ID

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1629429246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 CONGRESS DR",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810821283",
            "telephone_number": "719-846-3388",
            "fax_number": "719-846-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S INDIANA AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810823126",
            "telephone_number": "719-846-4631",
            "fax_number": "719-846-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS ANIMAS COUNTY REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-846-3388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "04K570",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09144247",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09140070",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24353345",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02133873",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Vista Alternatives",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Larson
• Teresa Larson, DIETITIAN
• Las Animas County Department of Social Services
• Las Animas County Department of Social Services
• Las Animas County Rehabilitation Center
• Las Animas Emergency Group LLC
• Las Animas-Huerfano Counties District Health Department
• Karen Lavigne, L.M.T.
• Lees Hearing Solutions, LLC.
• Nancy Marie Lees

• Adult Day Care Clinic/Center in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Adult Day Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.