NPIMap

Organization Active NPI

Beneficial Living Systems

  • Skilled Nursing Facility
  • Colorado Springs, CO
National Provider Identifier
1376699496
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0375 Issued in CO
Legal business name
BENEFICIAL LIVING SYSTEMS
Practice address
104 Lois LN
Colorado Springs, CO 80904-1320
Phone
(719) 635-2569
Fax
(719) 635-2530
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Tracy M Fish
Title
Finance Manager
Phone
(602) 368-8203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0375 CO Primary

Addresses

Primary practice location

104 Lois LN
Colorado Springs, CO 80904-1320

Mailing address

3519 E Shea Blvd
Suite 133
Phoenix, AZ 85028-3358
Phone (602) 368-8203

Other identifiers 2

IdentifierTypeStateIssuer
95258736MedicaidCO
50709348MedicaidCO

Other names 1

  • Garden of the Gods Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beneficial Living Systems4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376699496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 E SHEA BLVD",
            "address_2": "SUITE 133",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283358",
            "telephone_number": "602-368-8203",
            "fax_number": "602-368-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LOIS LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809041320",
            "telephone_number": "719-635-2569",
            "fax_number": "719-635-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEFICIAL LIVING SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "602-368-8203",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95258736",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50709348",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden of the Gods Care Center",
            "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 Aug 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.