Organization Active NPI

Enriched Assisted Living at Princeton Way LLC

  • Assisted Living Facility
  • Colorado Springs, CO
National Provider Identifier
1194445684
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ENRICHED ASSISTED LIVING AT PRINCETON WAY LLC
Practice address
2107 Princeton Way
Colorado Springs, CO 80909-2043
Phone
(719) 331-4125
NPI assigned
Sep 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Karan Jo McGrath
Title
Manager
Phone
(719) 331-4125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2107 Princeton Way
Colorado Springs, CO 80909-2043

Mailing address

8120 Lakeview Dr
Colorado Springs, CO 80908-2982
Phone (171) 933-1412

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1194445684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 LAKEVIEW DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809082982",
            "telephone_number": "171-933-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 PRINCETON WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092043",
            "telephone_number": "719-331-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHED ASSISTED LIVING AT PRINCETON WAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "KARAN",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-331-4125"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 2, 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.

Verify at the official NPI Registry.