Integrating Supports Colorado

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

INTEGRATING SUPPORTS COLORADO

Practice address

4294 Gray Fox HTS
Colorado Springs, CO 80922

Phone

(719) 313-0626

Fax

(720) 222-5216

NPI assigned

Dec 12, 2019

Organization subpart

No

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

Authorized official

Name

Shantelle Rockman

Title

Executive Director

Phone

(719) 313-0626

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1558909366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4294 GRAY FOX HTS",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80922",
            "telephone_number": "719-313-0626",
            "fax_number": "720-222-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4294 GRAY FOX HTS",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80922",
            "telephone_number": "719-313-0626",
            "fax_number": "720-222-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATING SUPPORTS COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "ROCKMAN",
        "authorized_official_first_name": "SHANTELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-313-0626"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srockman@integratingsupports.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "801 Englewood Pkwy Apt G105",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801102396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.