NPIMap

Organization Active NPI

Integrated Health Services at Colorado Springs Inc

Doing business as Parkmoor Village Healthcare Center

  • Skilled Nursing Facility
  • Colorado Springs, CO
National Provider Identifier
1023512613
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
020542 Issued in CO
Legal business name
INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC
Doing business as
Parkmoor Village Healthcare Center
Practice address
3625 Parkmoor Village Dr
Colorado Springs, CO 80917-5205
Phone
(719) 550-0200
Fax
(719) 637-0756
NPI assigned
Mar 20, 2018
Organization subpart
Yes
Parent organization
INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Koretke
Title
Director of Reimbursement
Phone
(720) 974-6278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 020542 CO Primary

Addresses

Primary practice location

3625 Parkmoor Village Dr
Colorado Springs, CO 80917-5205

Mailing address

12136 W Bayaud Ave Ste 200
Lakewood, CO 80228-2115
Phone (303) 238-3838

Other names 1

  • Parkmoor Village Healthcare Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Integrated Health Services at Colorado Springs Inc2 organizations share this tax ID, including this one
Part of
Integrated Health Services at Colorado Springs Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1023512613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12136 W BAYAUD AVE STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282115",
            "telephone_number": "303-238-3838",
            "fax_number": "303-987-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 PARKMOOR VILLAGE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175205",
            "telephone_number": "719-550-0200",
            "fax_number": "719-637-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "720-974-6278"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "020542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkmoor Village Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkmoor Village Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.