Healthcare Provider Details

I. General information

NPI: 1053467498
Provider Name (Legal Business Name): MOUNTAIN VALLEY DEVELOPMENTAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 MOUNT SOPRIS DR
GLENWOOD SPRINGS CO
81601-4622
US

IV. Provider business mailing address

PO BOX 338
GLENWOOD SPRINGS CO
81602-0338
US

V. Phone/Fax

Practice location:
  • Phone: 970-945-2306
  • Fax: 970-945-6469
Mailing address:
  • Phone: 970-945-2306
  • Fax: 970-945-6469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. SARA SIMS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 970-945-2306