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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

State of Colorado

Skilled Nursing Facility in Trinidad, CO · enumerated 2005 · authorized official Lee Burkholder, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033106760

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Registry record

Entity type Organization (Type 2)
Legal business name State of Colorado
Other name <Unavail>
Parent organization State of Colorado
Practice address 409 Benedicta Ave, Trinidad, CO, 81082
Fax (719) 845-2802
Enumeration date Sep 27, 2005
Last updated in NPPES Sep 26, 2008

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 020796 (CO) Primary

Authorized official

Name Lee Burkholder
Title Administrator

Other identifiers

Identifier Type State Issuer
05654058 Medicaid CO -
04140687 Medicaid CO -
04143418 Medicaid CO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is State of Colorado?
State of Colorado is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-09-26.