Active NPI
Gospel Homes for Women
- Mental Illness Community Based Residential Treatment Facility
- Colorado Springs, CO
National Provider Identifier
1336838127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- GOSPEL HOMES FOR WOMEN
- Practice address
- 3608 Meadowland Blvd
Colorado Springs, CO 80918-4532 - Phone
- (719) 291-3406
- NPI assigned
- May 5, 2023
- 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
- Ms. Marilyn Vyzourek
- Title
- President
- Phone
- (719) 291-3406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
3608 Meadowland Blvd
Colorado Springs, CO 80918-4532
Mailing address
30 Lawrence Ave
Colorado Springs, CO 80909-6019
Phone (719) 291-3406
Other practice location 1
4092 Morley Cir
Colorado Springs, CO 80916-2829
Phone (719) 291-3406
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683244800000",
"number": "1336838127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LAWRENCE AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809096019",
"telephone_number": "719-291-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3608 MEADOWLAND BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809184532",
"telephone_number": "719-291-3406"
}
],
"practiceLocations": [
{
"address_1": "4092 Morley Cir",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809162829",
"country_code": "US",
"telephone_number": "719-291-3406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GOSPEL HOMES FOR WOMEN",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-05",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "VYZOUREK",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-291-3406",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.