Carmel Community Living Corporation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

36450 Issued in CO

Legal business name

CARMEL COMMUNITY LIVING CORPORATION

Practice address

9299 Eastman Park Dr
Windsor, CO 80550-3318

Phone

(720) 496-2605

Fax

(720) 458-1665

NPI assigned

Jan 2, 2014

Organization subpart

No

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

Authorized official

Name

Jennifer Ordway, MSC

Title

Chief Development Officer

Phone

(720) 660-1844

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1407277882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9299 EASTMAN PARK DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503318",
            "telephone_number": "720-496-2605",
            "fax_number": "720-458-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 EASTMAN PARK DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503318",
            "telephone_number": "720-496-2605",
            "fax_number": "720-458-1665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4740 Flintridge Dr.",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80918",
            "country_code": "US",
            "telephone_number": "720-496-1844 x16",
            "fax_number": "720-458-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4740 Flintridge Dr.",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80918",
            "country_code": "US",
            "telephone_number": "720-496-1844 x16",
            "fax_number": "720-458-1665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARMEL COMMUNITY LIVING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ORDWAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "720-660-1844",
        "authorized_official_credential": "MSC"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "36450",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debora Semeliss Campbell, OTR
• Peter Hoang Anh Cao
• Caregivers, Inc.
• Michael Verlin Carey, M.D.
• Melissa Carman, MPT
• Carmel Community Living Corporation
• Marcy Carpenter, DDS
• April Carroll
• Brian N Carter, D.D.S
• Eva Marie Cassel, NBC-HWC

• Physical Medicine & Rehabilitation Physician in Windsor, CO
• Providers in Windsor, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.