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SOUTHEASTERN DEVELOPMENTAL SERVICES, INC
NPI 1437377082
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lamar, CO

Active since April 20, 2007
1111 SOUTH 4TH STREET, LAMAR, CO 81052(719) 336-3244(719) 336-3898 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 23, 2017, Nov 8, 2016 (2 updates tracked since 2016).

About Southeastern Developmental Services, Inc NPPES

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

SOUTHEASTERN DEVELOPMENTAL SERVICES, INC (NPI 1437377082) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Lamar, Colorado and active in the NPI registry since April 2007. The organization lists Kimberly Engsberg, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1437377082
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSOUTHEASTERN DEVELOPMENTAL SERVICES, INC
Location Address1111 SOUTH 4TH STREETLamar, CO 81052-3804
Mailing AddressP.o. Box 328Lamar, CO 81052-3804 · (719) 336-3244 · Fax (719) 336-3898
Phone(719) 336-3244
Fax(719) 336-3898
Organization SubpartNo
Authorized OfficialKimberly EngsbergExecutive Director · (719) 336-3244
Enumeration DateApril 20, 2007
Last NPPES UpdateJanuary 23, 20172 updates tracked since enumeration
✔ NPI 1437377082 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
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 ListedHomemakerTaxonomy 376J00000X
1111 SOUTH 4TH STREET, Lamar, CO 81052
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Other Identifiers 1

Medicaid09141409CO

Other Providers at the Same Location NPPES 2

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

S E DEVELOPMENTAL SERVICES INC
Case Management
1111 SOUTH 4TH STREET
LAMAR, CO 81052
Prowers County (719) 336-3244
S E DEVELOPMENTAL SERVICES, INC.
Day Training, Developmentally Disabled Services
1111 SOUTH 4TH STREET
LAMAR, CO 81052
Prowers County (719) 336-3244

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 Southeastern Developmental Services, Inc's NPI number?

The NPI number for Southeastern Developmental Services, Inc is 1437377082. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Southeastern Developmental Services, Inc located?

Southeastern Developmental Services, Inc is located at 1111 South 4th Street, Lamar, CO 81052. The listed phone number is (719) 336-3244.

What is Southeastern Developmental 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 Southeastern Developmental Services, Inc was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.