Pikes Peak Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PIKES PEAK HOME CARE LLC

Practice address

390 Printers Pkwy
Colorado Springs, CO 80910-3190

Phone

(720) 226-0110

Fax

(720) 226-0398

NPI assigned

Feb 23, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Gurgen Krylov

Title

Owner/Administrator

Phone

(720) 226-0110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1508622929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 PRINTERS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103190",
            "telephone_number": "720-226-0110",
            "fax_number": "720-226-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 PRINTERS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103190",
            "telephone_number": "720-226-0110",
            "fax_number": "720-226-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKES PEAK HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "KRYLOV",
        "authorized_official_first_name": "GURGEN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "720-226-0110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pikes Peak Family Connections, Inc.
• Pikes Peak Family Counseling Center
• Pikes Peak Family Medicine
• Pikes Peak Foot and Ankle Ctr
• Pikes Peak Healthcare, Inc.
• Pikes Peak Hospice and Palliative Care Guide Program
• Pikes Peak Hospice and Palliative Care Inc
• Pikes Peak Hospice and Palliative Care Inc
• Pikes Peak Hospice and Palliative Care Inc
• Pikes Peak Hospice and Palliative Care Inc

• In Home Supportive Care Agency in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.