Organization Active NPI

Winslow Court Cocswc, LLC

  • Assisted Living Facility
  • Colorado Springs, CO
National Provider Identifier
1205191129
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
230512 Issued in CO
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
230512OtherCOPROVIDER LICENSE NUMBER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.