NPIMap

Organization Active NPI

Eastern Colorado Services for the Developmentally Disabled, Inc.

  • Community/Behavioral Health Agency
  • Sterling, CO
National Provider Identifier
1659492908
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC.
Practice address
617 S 10TH Ave
Sterling, CO 80751-3426
Phone
(970) 522-7121
Fax
(970) 522-1173
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Traci Schrade
Title
Finance Director
Phone
(970) 522-7121

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

617 S 10TH Ave
Sterling, CO 80751-3426

Mailing address

617 S 10TH Ave
P. O. Box 1682
Sterling, CO 80751-3426
Phone (970) 522-7121

Other identifiers 1

IdentifierTypeStateIssuer
26454726MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Eastern Colorado Services for the Developmentally Disabled Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1659492908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 S 10TH AVE",
            "address_2": "P. O. BOX 1682",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513426",
            "telephone_number": "970-522-7121",
            "fax_number": "970-522-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 S 10TH AVE",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807513426",
            "telephone_number": "970-522-7121",
            "fax_number": "970-522-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "SCHRADE",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "970-522-7121"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26454726",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.