Oakshire Gardens

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

23M641 Issued in CO

Legal business name

OAKSHIRE GARDENS

Practice address

2400 Oakshire LN
Pueblo, CO 81001-5653

Phone

(719) 544-3001

Fax

(719) 586-9256

NPI assigned

Oct 19, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kriss Prado, RN

Title

Executive Director

Phone

(719) 406-5288

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1356712129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 OAKSHIRE LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810015653",
            "telephone_number": "719-544-3001",
            "fax_number": "719-586-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 OAKSHIRE LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810015653",
            "telephone_number": "719-544-3001",
            "fax_number": "719-586-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKSHIRE GARDENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "KRISS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-406-5288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23M641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56353375",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chrystal Moon Nystuen, LPN
• Denise O'Cana
• Tony O'Cana I, B.A. SOCIOLOGY
• Emily O'Neil, MS/CCC-SLP
• Cathleen Lynn O'Neill, MSW, LCSW
• Oasis Counseling
• Oasis Counseling, a PLLC
• Suhaila Obaidalla, MD
• Adetola A Obiwole
• Obstetrix Medical Group of Colorado, P.C.

• Assisted Living Facility in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.