OrganizationActive
Our Own Lives
NPI 1679259253 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Cortez, CO
Provider details
- NPI number
- 1679259253
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tara Kiene, President/Ceo(970) 385-3443
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
325 S Pine St
Cortez, CO 81321-3441
Phone: (970) 259-2464
Fax: (970) 259-2618
Street-level locationGet directions
Mailing address
325 S Pine St
Cortez, CO 81321-3441
Additional practice locations (1)
- 831 E 31st StDurango, CO 81301-6028Phone: (970) 259-2464Fax: (970) 259-2618
Registry dates
- Enumerated
- 2023-06-27
- Last updated
- 2023-06-27
- Certified
- 2023-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.