Organization · Type 2 NPI

Southern Colorado Developmental Disabilities Services, Inc

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Trinidad, CO

NPI number 1972041192 Active

Practice location

1402 Atchison Ave
Trinidad, CO 81082-2282

Call (719) 846-3391 Map

Mailing address

1205 Congress Dr
Trinidad, CO 81082-1283

Specialties and licenses

Taxonomy	Code	License
Developmentally Disabled Services Day Training Agency	251C00000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed
Bus	347B00000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Trinidad

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NPI record

NPI: 1972041192
Entity type: Organization (Type 2)
Issued: Feb 8, 2017
Last updated: Sep 29, 2025
Status: Active
Subpart: Yes of Southern Colorado Developmental Disabilities Services, Inc

Other names

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Vista del Rae Group Home · other name
Vista del Rae Group Home · other name

Authorized official

Mr. Duane Roy
Executive Director
(719) 846-4409

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About NPI 1972041192

Southern Colorado Developmental Disabilities Services, Inc's National Provider Identifier is 1972041192, issued on Feb 8, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Trinidad, CO. The record was last updated on Sep 29, 2025.