Organization Active NPI

Crescent Home Adult Care Facility,Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Colorado Springs, CO
National Provider Identifier
1336283985
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
AL-0984 Issued in CO
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
Lodging ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
66422540MedicaidCO

Other names 1

  • Crescent Home Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.