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NPI 1972049245ActiveOrganization· Custodial Care Facility· Canon City, CO
Custodial Care Facility in Canon City, Colorado, registered in NPPES in January 2017. The authorized official on file is Trudy Ann Sicotte, ACNP, Nurse Practitioner.
Overview
| NPI | 1972049245 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2017 |
| Last updated in NPPES | Jan 11, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | 0004895 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|