Organization Active NPI

Valor Program at Embrave LLC

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
National Provider Identifier
1528807013
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VALOR PROGRAM AT EMBRAVE LLC
Doing business as
Valor Program at Embrave LLC
Practice address
430 Garden of the Gods Rd
Colorado Springs, CO 80907-4218
Phone
(719) 581-0587
NPI assigned
May 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Mr. David DelsignoreNPI 1376398719
Title
Valor Client Service Manager
Phone
(719) 581-0587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

430 Garden of the Gods Rd
Colorado Springs, CO 80907-4218

Mailing address

5465 Mark Dabling Blvd
Colorado Springs, CO 80918-3851
Phone (719) 473-4460

Other names 1

  • Valor Program at Embrave LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250207002804 CO Part B Supplier - Clinic/Group Practice 3173053931 Receives reassigned benefits from 3 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory
Tax ID family
Valor Program at Embrave LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1528807013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 MARK DABLING BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183851",
            "telephone_number": "719-473-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 GARDEN OF THE GODS RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074218",
            "telephone_number": "719-581-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALOR PROGRAM AT EMBRAVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "DELSIGNORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VALOR CLIENT SERVICE MANAGER",
        "authorized_official_telephone_number": "719-581-0587",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valor Program at Embrave LLC",
            "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 Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.