NPIMap

Organization Active NPI

Courage to Change

Doing business as Soaring hope

  • Substance Abuse Rehabilitation Facility
  • Colorado Springs, CO
National Provider Identifier
1174069223
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1621 Issued in CO
Legal business name
COURAGE TO CHANGE
Doing business as
Soaring hope
Practice address
3470 Briargate Blvd
Colorado Springs, CO 80920-4168
Phone
(719) 896-5163
NPI assigned
Jan 12, 2017
Last updated
Jan 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Judith Ann Miller, PHD, CAC III
Title
Founder, President
Phone
(719) 393-3961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1621 CO Primary

Addresses

Primary practice location

3470 Briargate Blvd
Colorado Springs, CO 80920-4168

Mailing address

3470 Briargate Blvd
Colorado Springs, CO 80920-4168
Phone (719) 896-5163

Other identifiers 1

IdentifierTypeStateIssuer
1548496086OtherCONPI

Other names 1

  • Soaring hope Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Courage to Change Ranches3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3470 Briargate Blvd
Colorado Springs, CO 80920
Phone (516) 243-7803

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1174069223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 BRIARGATE BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204168",
            "telephone_number": "719-896-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 BRIARGATE BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204168",
            "telephone_number": "719-896-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE TO CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FOUNDER, PRESIDENT",
        "authorized_official_telephone_number": "719-393-3961",
        "authorized_official_credential": "PHD, CAC III"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CO",
            "license": "1621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548496086",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soaring hope",
            "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 Jan 12, 2017; 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.