SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC
NPI 1053859611
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Walsenburg, CO

Q: What is Southern Colorado Developmental Disabilities Services, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since February 03, 2017

309 E ELDER ST, WALSENBURG, CO 81089(719) 894-6454 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2025, May 5, 2025, Oct 23, 2023 and 4 more (7 updates tracked since 2017).

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About Southern Colorado Developmental Disabilities Services, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC (NPI 1053859611) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Walsenburg, Colorado and active in the NPI registry since February 2017. The organization lists Duane Roy, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053859611

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameSOUTHERN COLORADO DEVELOPMENTAL DISABILITIES SERVICES, INC

Location Address309 E ELDER STWalsenburg, CO 81089-1601

Mailing Address1205 Congress DrTrinidad, CO 81082-1283 · (719) 846-3391 · Fax (719) 846-4543

Phone(719) 894-6454

Organization SubpartYes

Authorized OfficialDuane RoyExecutive Director · (719) 846-4409

Enumeration DateFebruary 3, 2017

Last NPPES UpdateSeptember 29, 20257 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2025

✔ NPI 1053859611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in CO · 0507X0

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

Also ListedBusTaxonomy 347B00000X

309 E ELDER ST, Walsenburg, CO 81089

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Other Names 2

Other NameBella Vista Group Home

Other NameLas Animas County Rehabilitation Center, Inc.

Other Identifiers 3

Medicaid09140070CO

Medicaid17125057CO

Medicaid09144247CO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Colorado Developmental Disabilities Services, Inc's NPI number?

The NPI number for Southern Colorado Developmental Disabilities Services, Inc is 1053859611. It was assigned to this organization in the NPPES registry on February 3, 2017. The provider is also known as Bella Vista Group Home and Las Animas County Rehabilitation Center, Inc..

Where is Southern Colorado Developmental Disabilities Services, Inc located?

Southern Colorado Developmental Disabilities Services, Inc is located at 309 E Elder St, Walsenburg, CO 81089. The listed phone number is (719) 894-6454.

What is Southern Colorado Developmental Disabilities Services, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Southern Colorado Developmental Disabilities Services, Inc was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.