Blue Peaks Developmental Services Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Monte Vista, CO
NPI 1760929202 · NPPES record last updated Feb 22, 2017
Key facts
- NPI
- 1760929202
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 051008 (CO)
- Legal business name
- BLUE PEAKS DEVELOPMENTAL SERVICES INC.
- Practice address
- 304 Davis St
Monte Vista, CO 81144-1204 - Phone
- (719) 589-5135
- Fax
- (719) 589-0680
- NPI assigned
- Jan 23, 2017
- Organization subpart
- No
Authorized official
- Name
- Anita M Kinsey
- Title
- Finance Director
- Phone
- (719) 589-5135
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Blue Peaks Developmental Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 051008 | CO | Yes |
| Non-emergency Medical Transport (VAN) | 343900000X | 051008 | CO |
Addresses
Primary practice location
304 Davis St
Monte Vista, CO 81144-1204
Mailing address
703 4TH St
Alamosa, CO 81101-2524
Phone (719) 589-5135
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09140872 | Medicaid | CO |
Other names
- Price House
Other providers in Monte Vista, CO
- Christy Acheson
- Kyle Reed Barkdull
- Laura Barr
- Jackie Dawn Bennett
- Better Health & Rehabilitation Services, P.C.
- Talon Carver
- Susannah Reed Cary
- Jimmy Lee Cassity
- Natalie Kay Chavez
- Children'S Specialty Clinic of San Luis Valley
All providers in Monte Vista, CO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.