NPIMap

Organization Active NPI

Garden Ranch LLC

Doing business as Garden Ranch Assisted Living

  • Administrator Registered Nurse
  • Colorado Springs, CO
National Provider Identifier
1376142117
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
Legal business name
GARDEN RANCH LLC
Doing business as
Garden Ranch Assisted Living
Practice address
5075 Saddle Dr
Colorado Springs, CO 80918-3627
Phone
(719) 260-9121
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Charissa Richardson
Title
Owner/Administrator
Phone
(719) 920-0166

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WA2000X Primary
Nursing Home AdministratorGroup: 193400000X SINGLE SPECIALTY GROUP 376G00000X

Addresses

Primary practice location

5075 Saddle Dr
Colorado Springs, CO 80918-3627

Mailing address

5075 Saddle Dr
Colorado Springs, CO 80918-3627
Phone (719) 260-9121

Other names 1

  • Garden Ranch Assisted Living Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gardenranchassistedliving@outlook.com

National Provider Directory

National Provider Directory

Locations

5075 Saddle Dr
Colorado Springs, CO 80918
Phone (719) 260-9121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1376142117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 SADDLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183627",
            "telephone_number": "719-260-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 SADDLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183627",
            "telephone_number": "719-260-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN RANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "CHARISSA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "719-920-0166"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gardenranchassistedliving@outlook.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "address_1": "5075 Saddle Dr",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809183627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Garden Ranch Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 22, 2020; 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.