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

State of Colorado

Adult Day Care Clinic/Center in Trinidad, CO · enumerated 2008 · authorized official Lee Burkholder, Nursing Home Administrator.

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

National Provider Identifier

1386818383

Verified

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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 State Nursing Home, Trinidad, CO, 81082
Fax (719) 845-2807
Enumeration date Apr 22, 2008
Last updated in NPPES Sep 26, 2008

Taxonomy & classification

261QA0600X Adult Day Care Clinic/Center Ambulatory Health Care Facilities · License 020796 (CO) Primary
343900000X Non-emergency Medical Transport (VAN) Transportation Services · License 020796 (CO) Secondary

Authorized official

Name Lee Burkholder
Title Nursing Home Administrator

Other identifiers

Identifier Type State Issuer
05654058 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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-09-26. Verify at npiregistry.cms.hhs.gov.
Where is State of Colorado located?
The practice location on file with NPPES is in Trinidad, CO.

Providers at this address

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