Organization Active NPI

Gospel Homes for Women

  • Mental Illness Community Based Residential Treatment Facility
  • Colorado Springs, CO
National Provider Identifier
1336838127
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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

Updated by the provider on May 5, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.