Integrated Health Services at Colorado Springs Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0165 Issued in CO

Legal business name

INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC

Practice address

3625 Parkmoor Village Dr
Colorado Springs, CO 80917-5205

Phone

(719) 550-0200

Fax

(719) 637-0756

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Brian Reynolds

Title

Ceo

Phone

(410) 513-8738

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Parkmoor Village Healthcare Center Doing business as

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1316944135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 PARKMOOR VILLAGE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175205",
            "telephone_number": "719-550-0200",
            "fax_number": "719-637-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 PARKMOOR VILLAGE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175205",
            "telephone_number": "719-550-0200",
            "fax_number": "719-637-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-513-8738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF DEFENSETPIN #",
            "identifier": "57688894",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05652151",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkmoor Village Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.