Organization Active NPI

Eyrie Dale Healthcare, Inc.

  • Skilled Nursing Facility
  • Colorado Springs, CO
National Provider Identifier
1134043839
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EYRIE DALE HEALTHCARE, INC.
Practice address
110 W Van Buren St
Colorado Springs, CO 80907-6713
Phone
(719) 475-8686
Fax
(719) 475-1223
NPI assigned
Aug 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Soon Burnam
Title
Secretary
Phone
(949) 540-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

110 W Van Buren St
Colorado Springs, CO 80907-6713

Mailing address

110 W Van Buren St
Colorado Springs, CO 80907-6713
Phone (719) 475-8686

Other names 1

  • SPRINGS VILLAGE CARE CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1134043839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W VAN BUREN ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076713",
            "telephone_number": "719-475-8686",
            "fax_number": "719-475-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W VAN BUREN ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076713",
            "telephone_number": "719-475-8686",
            "fax_number": "719-475-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYRIE DALE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPRINGS VILLAGE CARE 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 Aug 5, 2026; 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.