Powell House

LBN: Blue Peaks Developmental Services Inc.
Powell House is an health care organization with primary practice located at 6477 S. 106.25 Mauloff Rd , Alamosa CO 81101-8775. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Non-emergency Medical Transport (VAN). Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Blue Peaks Developmental Services Inc. can be contacted via phone (719) 589-5135, or through Kinsey, Anita M via phone (719) 589-5135.

Contact Information

Primary practice address
6477 S. 106.25 Mauloff Rd Alamosa CO 81101-8775
Phone: (719) 589-5135
Fax: (719) 589-0680
Website:
Map and Directions
Authorized official contact:
Name: Kinsey, Anita M
Phone: (719) 589-5135

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 05R242 Colorado
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 05R242 Colorado

Profile Details

NPI number 1396283818
LBN Legal business name Blue Peaks Developmental Services Inc.
DBA Doing business as Powell House
Authorized official Kinsey, Anita M
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2017
Last updated Feb 22nd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396283818 NPPES
Colorado MEDICAID 9000134726

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