NPIMap

Organization Active NPI

Parent Care Life Inc.

Doing business as MapleGrove East at Crestview

  • Assisted Living Facility
  • Colorado Springs, CO
National Provider Identifier
1114203601
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
23G509 Issued in CO
Legal business name
PARENT CARE LIFE INC.
Doing business as
MapleGrove East at Crestview
Practice address
1417 E Buena Ventura St
Colorado Springs, CO 80909-2824
Phone
(719) 473-6339
Fax
(719) 448-9301
NPI assigned
Oct 27, 2011
Last updated
Oct 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 23G509 CO Primary
Custodial Care Facility 311Z00000X 23G509 CO
Adult Care Home Facility 311ZA0620X 23G509 CO

Addresses

Primary practice location

1417 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 names 1

  • MapleGrove East at Crestview Doing business as

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": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1114203601",
    "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": "1417 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.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-473-6339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23G509",
            "primary": true
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "CO",
            "license": "23G509",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CO",
            "license": "23G509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MapleGrove East at Crestview",
            "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 Oct 27, 2011; 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.