BSLC II

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BSLC II

Doing business as

Collinwood

Practice address

5055 S Lemay Ave
Fort Collins, CO 80525-9401

Phone

(970) 530-0223

Fax

(970) 223-3360

NPI assigned

Apr 29, 2021

Organization subpart

No

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

Authorized official

Name

Diane M Wilson

Title

Accounting Manager

Phone

(719) 481-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Collinwood Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• BSLC II

  • Assisted Living Facility
  • Colorado Springs, CO
  • NPI 1487504601
  NPPES parent name

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1285217026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15475 GLENEAGLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212596",
            "telephone_number": "719-481-0100",
            "fax_number": "719-488-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 S LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259401",
            "telephone_number": "970-530-0223",
            "fax_number": "970-223-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSLC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "719-481-0100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53879562",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collinwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todd Bryce, PA-C
• Wendy Marie Bryner
• Rheanna Rose Bryson
• Bryvic Medical, LLC
• Pawel Brzozka, CP
• Frankie Buchanan Green, LPC
• Elizabeth Buchanan, LCSW
• Katherine Buchanan
• Sandy Thim Buchanan, LPN
• Lindsay Buck

• Assisted Living Facility in Fort Collins, CO
• Providers in Fort Collins, 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 Apr 29, 2021; 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.