Organization Active NPI

Nursing and Therapy Services of Colorado Inc

  • Home Health Agency
  • Colorado Springs, CO
National Provider Identifier
1629094909
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NURSING AND THERAPY SERVICES OF COLORADO INC
Practice address
1130 Woodmen Rd
Colorado Springs, CO 80919
Phone
(719) 574-5562
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Ms. Lisa Ann Davis, RN
Title
President/Ceo
Phone
(719) 574-5562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1130 Woodmen Rd
Colorado Springs, CO 80919

Mailing address

1130 Woodmen Rd
Colorado Springs, CO 80919
Phone (719) 574-5562

Other identifiers 2

IdentifierTypeStateIssuer
28300831MedicaidCO
56070331MedicaidCO

Other names 1

  • NTSOC, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20020917000019 CO Part A Provider - Home Health Agency 4486561230 Practice locations: Alamosa, CO; Colorado Springs, CO
O20110802000029 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486561230 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colorado Springs, CO

Home health agency certification: CCN 067418

Legal name
NURSING AND THERAPY SERVICES OF COLORADO INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 19, 2001
Last certification
Dec 19, 2019
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Jun 19, 2000 in CO
Enrollment address
1130 W Woodmen Rd
Colorado Springs, CO 80919-2726

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nursing and Therapy Services of Colorado IncCCN 067418
Ownership
Proprietary
Certified
Dec 19, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steffani Baker Individual Corporate OfficerBoard Secretary May 17, 2023
Kristin Moore Waldrop Individual W-2 Managing Employee Jul 1, 2003
Lisa Humberd Individual Corporate OfficerBoard Vice Chair May 17, 2023
Kimberly a Ivy Individual Corporate DirectorChief Executive Officer Jun 4, 2024

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1629094909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 WOODMEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80919",
            "telephone_number": "719-574-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 WOODMEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80919",
            "telephone_number": "719-574-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING AND THERAPY SERVICES OF COLORADO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "719-574-5562",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28300831",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56070331",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NTSOC, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NTSOC, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.