NPIMap

Organization Active NPI

Parent Care Life Inc Dba Crestview

  • Assisted Living Facility
  • Colorado Springs, CO
National Provider Identifier
1104357318
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
23F100 Issued in CO
Legal business name
PARENT CARE LIFE INC DBA CRESTVIEW
Practice address
1409 E Buena Ventura St
Colorado Springs, CO 80909-2824
Phone
(719) 473-6339
Fax
(719) 448-9301
NPI assigned
Mar 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Mr. Ricky Lee Simpson
Title
Adminstrator
Phone
(719) 473-6339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 23F100 CO Primary

Addresses

Primary practice location

1409 E Buena Ventura St
Colorado Springs, CO 80909-2824

Mailing address

1414 N Hancock Ave
Colorado Springs, CO 80903-2655
Phone (719) 473-6339

Other identifiers 1

IdentifierTypeStateIssuer
9000143722OtherCOHCPF PROVIDER ID

National Provider Directory

National Provider Directory
Tax ID family
Parent Care Life Inc Dba Crestview7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1104357318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N HANCOCK AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032655",
            "telephone_number": "719-473-6339",
            "fax_number": "719-448-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 E BUENA VENTURA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092824",
            "telephone_number": "719-473-6339",
            "fax_number": "719-448-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENT CARE LIFE INC DBA CRESTVIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "719-473-6339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23F100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCPF PROVIDER ID",
            "identifier": "9000143722",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 30, 2022; 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.