CORNELL CORRECTIONS OF CALIFORNIA, INC. – NPI #1376689042
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

CORNELL CORRECTIONS OF CALIFORNIA, INC. is a residential treatment facility located in CAÑON CITY, CO. NPPES has assigned the NPI number 1376689042 to CORNELL CORRECTIONS OF CALIFORNIA, INC. on January 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 14 years ago on Jun 29, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORNELL CORRECTIONS OF CALIFORNIA, INC. below.

NPI Profile for
CORNELL CORRECTIONS OF CALIFORNIA, INC.

NPI Number
1376689042
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORNELL CORRECTIONS OF CALIFORNIA, INC.
Primary location
700 FOURMILE PKWY
CAÑON CITY, CO 81212-9114
Phone: (719) 276-7500 Fax: (719) 276-6961
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOSEPH WILNER
FACILITY DIRECTOR
Phone: (719) 276-7500
Updated
Identifiers

Identifiers for CORNELL CORRECTIONS OF CALIFORNIA, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCO31487319
MEDICAIDCO42679249
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
CO 1526789
323P00000X
- Psychiatric Residential Treatment Facility
CO 1526789

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.