5 Star Gold Care

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

20151575282 Issued in CO

Legal business name

5 STAR GOLD CARE

Practice address

211 E Costilla St
Colorado Springs, CO 80903-2103

Phone

(719) 419-7977

Fax

(719) 419-7988

NPI assigned

Apr 8, 2016

Organization subpart

No

Name

Gloria Nicholson

Title

Ceo

Phone

(719) 419-7977

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2021.

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1013371608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E COSTILLA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032103",
            "telephone_number": "719-419-7977",
            "fax_number": "719-419-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E COSTILLA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032103",
            "telephone_number": "719-419-7977",
            "fax_number": "719-419-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR GOLD CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-419-7977"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CO",
            "license": "20151575282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Colorado Springs, CO
• Developmentally Disabled Services Day Training Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.