Pikes Peak Seniorcare, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PIKES PEAK SENIORCARE, INC.

Practice address

220 Ruskin Dr
Colorado Springs, CO 80910-2522

Phone

(719) 572-6179

Fax

(719) 572-6089

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Morris L Roth

Title

Ceo

Phone

(719) 572-6155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114012986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 MEDICAL CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RUSKIN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102522",
            "telephone_number": "719-572-6179",
            "fax_number": "719-572-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKES PEAK SENIORCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-572-6155"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pikes Peak Physical Medicine, P.C.
• Pikes Peak Professional Counselors, LLC
• Pikes Peak Psychotherapy, Inc.
• Pikes Peak Radiation Oncology P.C.
• Pikes Peak Reflux and Weight Loss Surgery PLLC
• Pikes Peak SNF Healthcare, LLC
• Pikes Peak Spine & Joint LLC
• Pikes Peak Stuttering Center
• Pikes Peak Urology PC
• Pikes Peak Visiting Providers LLC

• All providers in Colorado Springs, CO
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.