Provider Demographics
NPI:1841737731
Name:SPECIAL KIDS SPECIAL FAMILIES
Entity type:Organization
Organization Name:SPECIAL KIDS SPECIAL FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:ELLEGARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-447-8983
Mailing Address - Street 1:1915 AEROTECH DR STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80916-4222
Mailing Address - Country:US
Mailing Address - Phone:719-447-9893
Mailing Address - Fax:719-447-9482
Practice Address - Street 1:3450 N NEVADA AVE STE 110
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-5314
Practice Address - Country:US
Practice Address - Phone:719-447-9893
Practice Address - Fax:719-447-9482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253J00000XAgenciesFoster Care Agency
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty