NPIMap

Organization Active NPI

SSC Colorado Springs Terrace Gardens Operating Company LLC

  • Respite Care
  • Colorado Springs, CO
National Provider Identifier
1700383395
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
028 Issued in CO
Legal business name
SSC COLORADO SPRINGS TERRACE GARDENS OPERATING COMPANY LLC
Doing business as
Terrace Gardens Healthcare Center
Practice address
2438 E Fountain Blvd
Colorado Springs, CO 80910-3227
Phone
(719) 473-8000
Fax
(719) 473-7370
NPI assigned
Apr 10, 2018
Organization subpart
Yes
Parent organization
SSC COLORADO SPRINGS TERRACE GARDENS OPERATING COMPANY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Ken Pitts
Title
Director Reimbursement
Phone
(832) 467-6793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 028 CO Primary

Addresses

Primary practice location

2438 E Fountain Blvd
Colorado Springs, CO 80910-3227

Mailing address

5300 W Sam Houston Pkwy N Ste 100
Houston, TX 77041-5162
Phone (832) 467-6000

Other identifiers 1

IdentifierTypeStateIssuer
9000159516MedicaidCO

Other names 1

  • Terrace Gardens Healthcare Center Doing business as

National Provider Directory

National Provider Directory
Part of
SSC Colorado Springs Terrace Gardens Operating Company LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1700383395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415162",
            "telephone_number": "832-467-6000",
            "fax_number": "832-467-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 E FOUNTAIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103227",
            "telephone_number": "719-473-8000",
            "fax_number": "719-473-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC COLORADO SPRINGS TERRACE GARDENS OPERATING COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSC COLORADO SPRINGS TERRACE GARDENS OPERATING COMPANY LLC",
        "enumeration_date": "2018-04-10",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "DIRECTOR REIMBURSEMENT",
        "authorized_official_telephone_number": "832-467-6793"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CO",
            "license": "028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000159516",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terrace Gardens Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Terrace Gardens Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 16, 2022; 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.