Provider Demographics
NPI:1871659714
Name:SPECIAL KIDS SPECIAL FAMILIES INC
Entity type:Organization
Organization Name:SPECIAL KIDS SPECIAL FAMILIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
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:719-447-8983
Mailing Address - Fax:719-447-9482
Practice Address - Street 1:1915 AEROTECH DR STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80916-4222
Practice Address - Country:US
Practice Address - Phone:719-447-8983
Practice Address - Fax:719-447-9482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONO ISSUE251C00000X
CO43184251V00000X, 253J00000X
253J00000X, 385HR2065X
CO1502215385HR2065X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251V00000XAgenciesVoluntary or Charitable
No253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO92608264Medicaid
CO461907OtherRESPITE AND HOME BASED