Healthcare Provider Details

I. General information

NPI: 1497871917
Provider Name (Legal Business Name): SIX POINTS EVALUATION AND TRAINING,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 09/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 N MAIN ST
GUNNISON CO
81230-2400
US

IV. Provider business mailing address

PO BOX 1002
GUNNISON CO
81230-1002
US

V. Phone/Fax

Practice location:
  • Phone: 970-641-3081
  • Fax: 970-641-0800
Mailing address:
  • Phone: 970-641-3081
  • Fax: 970-641-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateCO

VIII. Authorized Official

Name: DANIEL MOORE BRUCE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 970-641-3081