Organization Active NPI

Van Ness Day Program LLC

  • Developmentally Disabled Services Day Training Agency
  • Colorado Springs, CO
National Provider Identifier
1639631237
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
VAN NESS DAY PROGRAM LLC
Practice address
1575 Garden of the Gods Rd Ste 200
Colorado Springs, CO 80907-3483
Phone
(719) 651-5102
NPI assigned
Apr 2, 2019
Organization subpart
Yes
Parent organization
VAN NESS DAY PROGRAM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Randee Van NessNPI 1629300611
Title
Director/Owner
Phone
(719) 651-5102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Transportation Broker 347E00000X
Respite Care 385H00000X

Addresses

Primary practice location

1575 Garden of the Gods Rd Ste 200
Colorado Springs, CO 80907-3483

Mailing address

1575 Garden of the Gods Rd Ste 200
Colorado Springs, CO 80907-3483
Phone (719) 651-5102

Other names 1

  • Skills Academy DP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Van Ness Day Program LLC2 organizations share this tax ID, including this one
Part of
Van Ness Day Program LLC

Other organizations with this tax ID 1

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

Locations

1430 N Hancock Ave
Colorado Springs, CO 80903

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1639631237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 GARDEN OF THE GODS RD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073483",
            "telephone_number": "719-651-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 GARDEN OF THE GODS RD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073483",
            "telephone_number": "719-651-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN NESS DAY PROGRAM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAN NESS DAY PROGRAM LLC",
        "enumeration_date": "2019-04-02",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "VAN NESS",
        "authorized_official_first_name": "RANDEE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "719-651-5102"
    },
    "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": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skills Academy DP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skills Academy DP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 4, 2022; 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.