La Mar Child Placemnt Agency

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

1628285 Issued in CO

Legal business name

LA MAR CHILD PLACEMNT AGENCY

Practice address

5315 Hicks Dr
Colorado Springs, CO 80911-3615

Phone

(719) 391-5093

Fax

(719) 392-2541

NPI assigned

Jul 26, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Lee Taylor, CEO

Title

Director

Phone

(719) 391-5093

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1447692876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 HICKS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809113615",
            "telephone_number": "719-391-5093",
            "fax_number": "719-392-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 HICKS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809113615",
            "telephone_number": "719-391-5093",
            "fax_number": "719-392-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MAR CHILD PLACEMNT AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-391-5093",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CO",
            "license": "1628285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1628285",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Illness Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.