Active NPI
Winslow Court Cocswc, LLC
- Assisted Living Facility
- Colorado Springs, CO
National Provider Identifier
1205191129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 230512
- Legal business name
- WINSLOW COURT COCSWC, LLC
- Practice address
- 3920 E San Miguel St
Colorado Springs, CO 80909-3427 - Phone
- (719) 597-1700
- Fax
- (719) 574-6074
- NPI assigned
- Jul 6, 2012
- Organization subpart
- Yes
- Parent organization
- STELLAR SENIOR LIVING LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Evrett Benton
- Title
- President
- Phone
- (801) 859-5126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 230512 | CO | Primary |
Addresses
Primary practice location
3920 E San Miguel St
Colorado Springs, CO 80909-3427
Mailing address
3920 E San Miguel St
Colorado Springs, CO 80909-3427
Phone (719) 597-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230512 | Other | CO | PROVIDER LICENSE NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341532800000",
"number": "1205191129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 E SAN MIGUEL ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809093427",
"telephone_number": "719-597-1700",
"fax_number": "719-574-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 E SAN MIGUEL ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809093427",
"telephone_number": "719-597-1700",
"fax_number": "719-574-6074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINSLOW COURT COCSWC, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STELLAR SENIOR LIVING LLC",
"enumeration_date": "2012-07-06",
"last_updated": "2012-07-06",
"status": "A",
"authorized_official_last_name": "BENTON",
"authorized_official_first_name": "EVRETT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-859-5126",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CO",
"license": "230512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER LICENSE NUMBER",
"identifier": "230512",
"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 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.