Active NPI
Lease on Life, LTD.
- Home Health Agency
- Colorado Springs, CO
National Provider Identifier
1174258792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LEASE ON LIFE, LTD.
- Practice address
- 1586 S 21St St Ste 11
Colorado Springs, CO 80904-4260 - Phone
- (719) 351-9400
- NPI assigned
- Jul 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard C Koons
- Title
- Administrator
- Phone
- (719) 351-9400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1586 S 21St St Ste 11
Colorado Springs, CO 80904-4260
Mailing address
1586 S 21St St Ste 11
Colorado Springs, CO 80904-4260
Phone (719) 351-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04L111 | Other | CO | HOME HEALTH CARE LICENSE |
National Provider Directory
National Provider DirectoryLocations
1586 S 21st St
Ste 11
Colorado Springs, CO 80904
Phone (719) 351-9400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658102400000",
"number": "1174258792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1586 S 21ST ST STE 11",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809044260",
"telephone_number": "719-351-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1586 S 21ST ST STE 11",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809044260",
"telephone_number": "719-351-9400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEASE ON LIFE, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-18",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A",
"authorized_official_last_name": "KOONS",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "719-351-9400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH CARE LICENSE",
"identifier": "04L111",
"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 Jul 18, 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.