Integrated Health Services at Colorado Springs Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020542 Issued in CO

Legal business name

INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC

Practice address

3625 Parkmoor Village Dr
Colorado Springs, CO 80917-5205

Phone

(719) 550-0200

Fax

(719) 637-0756

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Parkmoor Village Healthcare Center Doing business as

Tax ID family

Integrated Health Services at Colorado Springs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Integrated Health Services at Colorado Springs Inc

  • Skilled Nursing Facility
  • Colorado Springs, CO
  • NPI 1023512613
  NPD tax ID

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1043670185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04139523",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkmoor Village Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Institute for Sustained Health, LLC
• Institute of Plastic Surgery, P.C.
• Institutional Pharmacy Solutions
• Integral First Assist Services, LLC
• Integrated Health Services at Colorado Springs Inc
• Integrated Health Services at Colorado Springs Inc
• Integrated Health Solutions LLC
• Integrated Life Choices
• Integrated Life Choices (Ilc)
• Integrated Life Choices (Ilc)

• Skilled Nursing Facility in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.