Elder Care Inc. of Colorado Springs

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELDER CARE INC. OF COLORADO SPRINGS

Practice address

225 W Brookside St
Colorado Springs, CO 80905-2105

Phone

(719) 632-6511

Fax

(719) 632-0726

NPI assigned

May 21, 2021

Organization subpart

No

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

Authorized official

Name

Jeffrey Aaron Pitus

Title

Administrator

Phone

(719) 632-6511

Specialties & licenses 2

Addresses

Other names 1

• Brookside Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leola A Peterson

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1366465551
  NPD (past)

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1285209346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W BROOKSIDE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809052105",
            "telephone_number": "719-632-6511",
            "fax_number": "719-632-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W BROOKSIDE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809052105",
            "telephone_number": "719-632-6511",
            "fax_number": "719-632-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER CARE INC. OF COLORADO SPRINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "PITUS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-632-6511"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookside Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• El Paso County Community Detox Facility
• El Paso County Department of Human Services
• El Paso County Public Health
• El Paso County School District 12
• Jenifer Elbert, RN
• Amanda Elder, ATC
• Craig Elder, ATC
• Evan Michael Elder
• Kaile Elder
• Laura Jane Elder, MD

• Assisted Living Facility in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.