Prairie Pines
Organization Active NPI Assisted Living Facility · Eads, CO
NPI 1326488982 · NPPES record last updated Jun 27, 2013
Key facts
- NPI
- 1326488982
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 09781285 (CO)
- Legal business name
- PRAIRIE PINES
- Practice address
- 101 E Lowell Ave
Eads, CO 81036 - Phone
- (719) 438-2141
- Fax
- (719) 438-2140
- NPI assigned
- Jun 27, 2013
- Organization subpart
- No
Authorized official
- Name
- Linda S Watts
- Title
- Administrator
- Phone
- (719) 438-2141
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 09781285 | CO | Yes |
Addresses
Primary practice location
101 E Lowell Ave
Eads, CO 81036
Mailing address
PO Box 787
101 E Lowell Ave
Eads, CO 81036-0787
Phone (719) 438-2141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09781285 | Medicaid | CO |
Other providers in Eads, CO
- Luar Arjay Du Legua
- Lindsey Marie Counseling, PLLC
- Robert Todd Michael
- Pharmacy Services Inc.
- Poudre Valley Medical Group, LLC
- Erik David Ritch
- Southeast Mental Health Services
- Southeast Mental Health Services
- Valley-Wide Health Systems, Inc.
All providers in Eads, CO · Assisted Living Facility in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.