Organization Active NPI

Colorado Springs Senior Homes, Inc.

  • Assisted Living Facility
  • Colorado Springs, CO
National Provider Identifier
1386716215
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
230518 Issued in CO
Legal business name
COLORADO SPRINGS SENIOR HOMES, INC.
Practice address
3102-3108 North Prospect Street
Colorado Springs, CO 80907
Phone
(719) 636-2731
Fax
(719) 636-2010
NPI assigned
Nov 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Richard Lee Larsen
Title
President
Phone
(719) 636-2731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 230518 CO Primary

Addresses

Primary practice location

3102-3108 North Prospect Street
Colorado Springs, CO 80907

Mailing address

3031 N El Paso St
P.O. Box 7067
Colorado Springs, CO 80907-5412
Phone (719) 636-2731

Other identifiers 1

IdentifierTypeStateIssuer
0418061MedicaidCO

National Provider Directory

National Provider Directory

Locations

3031 N El Paso St
Colorado Springs, CO 80907

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386716215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 N EL PASO ST",
            "address_2": "P.O. BOX 7067",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075412",
            "telephone_number": "719-636-2731",
            "fax_number": "719-636-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102-3108 NORTH PROSPECT STREET",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80907",
            "telephone_number": "719-636-2731",
            "fax_number": "719-636-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS SENIOR HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-636-2731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "230518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418061",
            "state": "CO"
        }
    ],
    "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 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.