NPIMap

Organization Active NPI

Homeward Pikes Peak

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
National Provider Identifier
1598002131
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
161401 Issued in CO
Legal business name
HOMEWARD PIKES PEAK
Practice address
2010 E Bijou St
Colorado Springs, CO 80909-5819
Phone
(719) 473-5557
Fax
(719) 473-6442
NPI assigned
Jan 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Lynnette Carmichael
Title
Clinical Admin
Phone
(719) 473-5557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 161401 CO Primary

Addresses

Primary practice location

2010 E Bijou St
Colorado Springs, CO 80909-5819

Mailing address

2010 E Bijou St
Colorado Springs, CO 80909-5819
Phone (719) 473-5557

Other identifiers 2

IdentifierTypeStateIssuer
42125251MedicaidCO
161401OtherCOOLD LICENSE NUMBER

Other names 1

  • Harbor House Clinical Servcies Other name

National Provider Directory

National Provider Directory
Tax ID family
Homeward Pikes Peak6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1598002131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E BIJOU ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095819",
            "telephone_number": "719-473-5557",
            "fax_number": "719-473-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E BIJOU ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095819",
            "telephone_number": "719-473-5557",
            "fax_number": "719-473-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEWARD PIKES PEAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "CARMICHAEL",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_title_or_position": "CLINICAL ADMIN",
        "authorized_official_telephone_number": "719-473-5557"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "161401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42125251",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD LICENSE NUMBER",
            "identifier": "161401",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor House Clinical Servcies",
            "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 Jul 8, 2021; 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.