Organization Active NPI

Senior Care Systems of Co Inc

  • Assisted Living Facility
  • Pueblo, CO
National Provider Identifier
1205373701
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
230636 Issued in CO
Legal business name
SENIOR CARE SYSTEMS OF CO INC
Practice address
3 Douglas CT
Pueblo, CO 81001-1365
Phone
(719) 544-3999
NPI assigned
Jan 23, 2017
Last updated
Jan 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Ms. Phyllis K Sanchez
Title
Ceo
Phone
(719) 544-3999

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 230636 CO
Assisted Living Facility 310400000X 230636 CO Primary
Respite Care 385H00000X 230636 CO

Addresses

Primary practice location

3 Douglas CT
Pueblo, CO 81001-1365

Mailing address

3 Douglas CT
Pueblo, CO 81001-1365
Phone (719) 544-3999

Other identifiers 1

IdentifierTypeStateIssuer
12230035MedicaidCO

Other names 1

  • Belmont Senior Care Other name

National Provider Directory

National Provider Directory

Locations

3 Douglas Ct
Pueblo, CO 81001
Phone (719) 544-3999

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1205373701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DOUGLAS CT",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011365",
            "telephone_number": "719-544-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DOUGLAS CT",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011365",
            "telephone_number": "719-544-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE SYSTEMS OF CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-544-3999",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CO",
            "license": "230636",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "230636",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CO",
            "license": "230636",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12230035",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belmont Senior Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.