NPIMap

Organization Active NPI

Carmel Community Living Corporation

  • Developmentally Disabled Services Day Training Agency
  • Colorado Springs, CO
National Provider Identifier
1699897900
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CARMEL COMMUNITY LIVING CORPORATION
Practice address
5540 N Academy Blvd Ste 150
Colorado Springs, CO 80918-3665
Phone
(720) 496-2605
Fax
(720) 458-1665
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Jennifer Ordway, MSC
Title
Chief Executive Officer
Phone
(720) 660-1844

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
In Home Supportive Care Agency 253Z00000X CO
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 04B477 CO

Addresses

Primary practice location

5540 N Academy Blvd Ste 150
Colorado Springs, CO 80918-3665

Mailing address

451 21St Ave Ste B
Longmont, CO 80501-1483
Phone (303) 444-0573

Other identifiers 1

IdentifierTypeStateIssuer
14689588MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Carmel Community Living Corporation18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

5540 N Academy Blvd
Ste 150
Colorado Springs, CO 80918
Phone (720) 496-2605

1485 Garden of the Gods Rd
Ste 140
Colorado Springs, CO 80907

451 21st Ave
Ste B
Longmont, CO 80501
Phone (303) 444-0573

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1699897900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 21ST AVE STE B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011483",
            "telephone_number": "303-444-0573",
            "fax_number": "720-600-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 N ACADEMY BLVD STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183665",
            "telephone_number": "720-496-2605",
            "fax_number": "720-458-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL COMMUNITY LIVING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "ORDWAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "720-660-1844",
        "authorized_official_credential": "MSC"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "CO",
            "license": "04B477",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14689588",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 30, 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.