SSC Colonial Columns CS Operating LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

0427 Issued in CO

Legal business name

SSC COLONIAL COLUMNS CS OPERATING LLC

Practice address

1340 E Fillmore St
Colorado Springs, CO 80907-6433

Phone

(719) 473-1105

Fax

(719) 473-0495

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Stephen Shinn, LNHA

Title

Administrator

Phone

(719) 473-1105

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

SSC Colonial Columns CS Operating LLC2 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.

• SSC Colorado Springs Colonial Columns Operating Company LLC

  • Respite Care
  • Colorado Springs, CO
  • NPI 1871080168
  NPD tax ID

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1699772533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 E FILLMORE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076433",
            "telephone_number": "719-473-1105",
            "fax_number": "719-473-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 E FILLMORE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076433",
            "telephone_number": "719-473-1105",
            "fax_number": "719-473-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC COLONIAL COLUMNS CS OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-473-1105",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CO",
            "license": "0427",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0427",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05654793",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• SSC Colorado Springs Colonial Columns Operating Company LLC

• Alzheimer Center (Dementia Center) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Alzheimer Center (Dementia Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.