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14TH STREET
NPI 1730627191
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lamar, CO

Active since February 06, 2017
1607 S 14TH STREET, LAMAR, CO 81052(719) 336-3244(719) 336-3898 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 14th Street NPPES

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

14TH STREET (NPI 1730627191) 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 February 2017. The organization lists Kimberly Engsberg, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1730627191
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSOUTHEASTERN DEVELOPMENTAL SERVICES, INC
Location Address1607 S 14TH 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 DateFebruary 6, 2017
✔ NPI 1730627191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1607 S 14TH STREET, Lamar, CO 81052
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Other Names 1

Doing Business As14th Street

Other Identifiers 1

Medicaid34125043CO

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 1730627191. It was assigned to this organization in the NPPES registry on February 6, 2017. The provider is doing business as 14th Street.

Where is Southeastern Developmental Services, Inc located?

Southeastern Developmental Services, Inc is located at 1607 S 14th 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 February 6, 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.