Organization Active NPI

Peak Residential Supports, L.L.C.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Colorado Springs, CO
National Provider Identifier
1720719743
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
PEAK RESIDENTIAL SUPPORTS, L.L.C.
Practice address
4010 N Chestnut St
Colorado Springs, CO 80907-4112
Phone
(810) 908-0623
NPI assigned
Jun 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Ashley M Kotsiris
Title
Ceo
Phone
(810) 908-0623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

4010 N Chestnut St
Colorado Springs, CO 80907-4112

Mailing address

4010 N Chestnut St
Colorado Springs, CO 80907-4112
Phone (810) 908-0623

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1720719743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 N CHESTNUT ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074112",
            "telephone_number": "810-908-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 N CHESTNUT ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074112",
            "telephone_number": "810-908-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK RESIDENTIAL SUPPORTS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "KOTSIRIS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-908-0623"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 3, 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.