NPIMap

Organization Active NPI

Peer Coach Academy Colorado

  • Assisted Living Facility (Mental Illness)
  • Colorado Springs, CO
National Provider Identifier
1578340501
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
PEER COACH ACADEMY COLORADO
Practice address
2509 N Cascade Ave
Colorado Springs, CO 80907-6742
Phone
(719) 581-0857
NPI assigned
Sep 13, 2023
Last updated
Sep 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PEER COACH ACADEMY RENAISSANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
David Delsignore, ALR ADMINISTRATOR
Title
Administrator
Phone
(719) 581-0857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X NU Primary

Addresses

Primary practice location

2509 N Cascade Ave
Colorado Springs, CO 80907-6742

Mailing address

2509 N Cascade Ave
Colorado Springs, CO 80907-6742
Phone (719) 581-0857

Other names 1

  • Embark PCA Renaissance Other name

National Provider Directory

National Provider Directory
Tax ID family
Peer Coach Academy Colorado6 organizations share this tax ID, including this one
Part of
Peer Coach Academy Colorado

Other organizations with this tax ID 5

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

Locations

2509 N Cascade Ave
Colorado Springs, CO 80907
Phone (719) 581-0857

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1578340501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 N CASCADE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076742",
            "telephone_number": "719-581-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 N CASCADE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076742",
            "telephone_number": "719-581-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEER COACH ACADEMY COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEER COACH ACADEMY RENAISSANCE",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "DELSIGNORE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-581-0857",
        "authorized_official_credential": "ALR ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embark PCA Renaissance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 13, 2023; 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.