OrganizationActive
Southern Colorado Developmental Disabilities Services, Inc
NPI 1053859611 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Walsenburg, CO
Provider details
- NPI number
- 1053859611
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Southern Colorado Developmental Disabilities Services, Inc
- Organization subpart
- Yes
- Authorized official
- Duane Roy, Executive Director(719) 846-4409
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 0507X0 (CO)
Residential Treatment Facilities
- Bus347B00000X
Transportation Services
Agencies
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
309 E Elder St
Walsenburg, CO 81089-1601
Phone: (719) 894-6454
Street-level locationGet directions
Mailing address
1205 Congress Dr
Trinidad, CO 81082-1283
Other names (DBA / former)
- Other name
- Bella Vista Group Home
- Other name
- Las Animas County Rehabilitation Center, Inc.
Registry dates
- Enumerated
- 2017-02-03
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.