Active NPI
Crescent Home Adult Care Facility,Inc
- Mental Illness Community Based Residential Treatment Facility
- Colorado Springs, CO
National Provider Identifier
1336283985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- AL-0984
- Legal business name
- CRESCENT HOME ADULT CARE FACILITY,INC
- Practice address
- 812 W Colorado Ave
Colorado Springs, CO 80905-1516 - Phone
- (719) 634-2237
- Fax
- (719) 634-2471
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nancy V. Saiz
- Title
- Director
- Phone
- (719) 634-2237
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | AL-0984 | CO | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | AL-0984 | CO | Primary |
Addresses
Primary practice location
812 W Colorado Ave
Colorado Springs, CO 80905-1516
Mailing address
812 W Colorado Ave
Colorado Springs, CO 80905-1516
Phone (719) 634-2237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66422540 | Medicaid | CO |
Other names 1
- Crescent Home
National Provider Directory
National Provider DirectoryLocations
812 W Colorado Ave
Colorado Springs, CO 80905
Phone (719) 634-2237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1336283985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 W COLORADO AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809051516",
"telephone_number": "719-634-2237",
"fax_number": "719-634-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 W COLORADO AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809051516",
"telephone_number": "719-634-2237",
"fax_number": "719-634-2471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESCENT HOME ADULT CARE FACILITY,INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SAIZ",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "719-634-2237",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Lodging",
"state": "CO",
"license": "AL-0984",
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "CO",
"license": "AL-0984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66422540",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crescent Home",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.