Xtra Special Home Care

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

XTRA SPECIAL HOME CARE

Practice address

3109 66TH Ave
Greeley, CO 80634-8932

Phone

(314) 413-0043

NPI assigned

Mar 6, 2025

Organization subpart

Yes

Parent organization

CY-LESS RANCHAs reported in NPPES

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

Authorized official

Name

Sandra Lee DouglasNPI 1457875999

Title

Family Care Giver

Phone

(314) 413-0043

Specialties & licenses 1

Addresses

Other names 1

• Cy-Les Ranch Other name

Part of

Cy-Less Ranch

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cy-Less Ranch

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Arvada, CO
  • NPI 1285949362
  NPPES parent name

Practitioners 1

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

• Sandra Douglas

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Greeley, CO
  • NPI 1457875999
  NPD (past) Authorized official

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1871391565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16155 W 74TH DR",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077828",
            "telephone_number": "303-912-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 66TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806348932",
            "telephone_number": "314-413-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRA SPECIAL HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CY-LESS RANCH",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "FAMILY CARE GIVER",
        "authorized_official_telephone_number": "314-413-0043"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cy-Les Ranch",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Warren Wright, O.T.
• Zachary Neil Wright, MD
• Katherine Annie Wyant Noud, LPN
• Rebecca Wyperd
• Bethany Paj Tsis Thawj Xiong-Koon
• Cade Ryuji Yamamoto, PT, DPT
• Ann Yancey, LPC
• Anna Yanchek, DPT, PT
• Ariana Yanez
• Emma Elizabeth Yarrow

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Greeley, CO
• Providers in Greeley, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.