NPIMap

Organization Active NPI

Willcat

  • Assisted Living Facility
  • Colorado Springs, CO
National Provider Identifier
1629255351
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WILLCAT
Practice address
2060 Pima Dr
Colorado Springs, CO 80915-1748
Phone
(719) 596-0076
Fax
(719) 380-0756
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Miss Catherine A Hartman, OFFICER
Title
Owner/Operator
Phone
(719) 482-4731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2060 Pima Dr
Colorado Springs, CO 80915-1748

Mailing address

2060 Pima Dr
Colorado Springs, CO 80915-1748
Phone (719) 596-0076

Other identifiers 1

IdentifierTypeStateIssuer
18553575MedicaidCO

Other names 1

  • ivy cottage Other name

National Provider Directory

National Provider Directory
Tax ID family
Willcat2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1629255351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 PIMA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151748",
            "telephone_number": "719-596-0076",
            "fax_number": "719-380-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 PIMA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151748",
            "telephone_number": "719-596-0076",
            "fax_number": "719-380-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLCAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "719-482-4731",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OFFICER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18553575",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ivy cottage",
            "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 Jan 24, 2008; 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.