NPIMap

Organization Active NPI

Interim Healthcare of Southeastern Colorado, Inc

Doing business as Interim HealthCare Palliative Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Colorado Springs, CO
National Provider Identifier
1548765696
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
36458 Issued in CO
Legal business name
INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO, INC
Doing business as
Interim HealthCare Palliative Care
Practice address
1901 N Union Blvd Ste 105
Colorado Springs, CO 80909-7200
Phone
(719) 314-4868
NPI assigned
Mar 29, 2018
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Devin Ringling
Title
Ceo
Phone
(719) 632-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 36458 CO Primary

Addresses

Primary practice location

1901 N Union Blvd Ste 105
Colorado Springs, CO 80909-7200

Mailing address

1901 N Union Blvd Ste 105
Colorado Springs, CO 80909-7200
Phone (719) 314-4868

Other identifiers 1

IdentifierTypeStateIssuer
20180727MedicaidCO

Other names 1

  • Interim HealthCare Palliative Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare of Southeastern Colorado Inc7 organizations share this tax ID, including this one
Part of
Interim Healthcare of Southeastern Colorado Inc

Other organizations with this tax ID 6

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

Locations

1901 N Union Blvd
Ste 105
Colorado Springs, CO 80909
Phone (719) 314-4868

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548765696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N UNION BLVD STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809097200",
            "telephone_number": "719-314-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N UNION BLVD STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809097200",
            "telephone_number": "719-314-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO, INC",
        "enumeration_date": "2018-03-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RINGLING",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-632-9900"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "36458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20180727",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim HealthCare Palliative Care",
            "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 Jul 21, 2022; 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.