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TRINIDAD STATE NURSING HOME STAR CLUB ADULT DAY SERVICES PROGRAM
NPI 1386818383
Clinic/Center - Adult Day Care in Trinidad, CO

Active since April 22, 2008
409 BENEDICTA AVE, TRINIDAD STATE NURSING HOME, TRINIDAD, CO 81082(719) 845-2813(719) 845-2807 Get Directions Write a Review

NPPES record last updated: September 26, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Trinidad State Nursing Home Star Club Adult Day Services Program NPPES

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

TRINIDAD STATE NURSING HOME STAR CLUB ADULT DAY SERVICES PROGRAM (NPI 1386818383) is a healthcare organization registered as an adult day care in Trinidad, Colorado and active in the NPI registry since April 2008. The organization lists Lee Burkholder, Nursing Home Administrator, as its authorized official.

NPPES Registry Identity

NPI1386818383
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameSTATE OF COLORADO
Location Address409 BENEDICTA AVE, TRINIDAD STATE NURSING HOMETrinidad, CO 81082-2004
Mailing Address409 Benedicta Ave, Trinidad State Nursing Home Star ClubTrinidad, CO 81082-2004 · (719) 845-2813 · Fax (719) 845-2807
Phone(719) 845-2813
Fax(719) 845-2807
Organization SubpartYes
Authorized OfficialLee BurkholderNursing Home Administrator · (719) 846-9291
Enumeration DateApril 22, 2008
Last NPPES UpdateSeptember 26, 2008
✔ NPI 1386818383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License✔ Licensed in CO · 020796
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X · License 020796 (CO)
409 BENEDICTA AVE, Trinidad, CO 81082
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Other Names 1

Doing Business AsTrinidad State Nursing Home Star Club Adult Day Services Program

Other Identifiers 1

Medicaid05654058CO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATE OF COLORADO
Skilled Nursing Facility
409 BENEDICTA AVE
TRINIDAD, CO 81082
Las Animas County (719) 846-9291
TRINIDAD REHABILITATION AND HEALTHCARE CENTER LLC
Skilled Nursing Facility
409 BENEDICTA AVE
TRINIDAD, CO 81082
Las Animas County (719) 846-9291
JEREMY SCOTT BERRY PTA
Physical Therapy Assistant
409 BENEDICTA AVE
TRINIDAD, CO 81082
Las Animas County (719) 846-9291
KANDRA SELBY KENDALL DPT, PT
Physical Therapist
409 BENEDICTA AVE
TRINIDAD, CO 81082
Las Animas County (719) 846-9291
RAZA UDDIN OD LLC
Optometrist
409 BENEDICTA AVE
TRINIDAD, CO 81082
Las Animas County (719) 846-9291
MT ROSE HEALTH CENTER
Legal Medicine
409 BENEDICTA AVE, SUITE A
TRINIDAD, CO 81082
Las Animas County (719) 846-8478
VALERIE JEAN BORSA M.D.
Internal Medicine
409 BENEDICTA AVE, SUITE A
TRINIDAD, CO 81082
Las Animas County (719) 846-8478
MISS REBECCA LYNNE NOLAN PTA
Physical Therapy Assistant
409 BENEDICTA AVE
TRINIDAD, CO 81082
Las Animas County (719) 846-9291

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 State Of Colorado's NPI number?

The NPI number for State Of Colorado is 1386818383. It was assigned to this organization in the NPPES registry on April 22, 2008. The provider is doing business as Trinidad State Nursing Home Star Club Adult Day Services Program.

Where is State Of Colorado located?

State Of Colorado is located at 409 Benedicta Ave Trinidad State Nursing Home, Trinidad, CO 81082. The listed phone number is (719) 845-2813.

What is State Of Colorado's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for State Of Colorado was last updated on September 26, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.