NPIMap

Organization Active NPI

Carmel Community Living Corporation

  • Physical Medicine & Rehabilitation Physician
  • Pueblo, CO
National Provider Identifier
1780197228
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CARMEL COMMUNITY LIVING CORPORATION
Practice address
2003 Northmoor Ter Ste 100
Pueblo, CO 81008-1505
Phone
(720) 496-2605
Fax
(720) 458-1665
NPI assigned
Nov 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2003 Northmoor Ter Ste 100
Pueblo, CO 81008-1505

Mailing address

2003 Northmoor Ter Ste 100
Pueblo, CO 81008-1505
Phone (720) 496-2605

Other names 1

  • Overture Doing business as

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

2003 Northmoor Ter
Ste 100
Pueblo, CO 81008
Phone (720) 496-2605

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1780197228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 NORTHMOOR TER STE 100",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081505",
            "telephone_number": "720-496-2605",
            "fax_number": "720-458-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 NORTHMOOR TER STE 100",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081505",
            "telephone_number": "720-496-2605",
            "fax_number": "720-458-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL COMMUNITY LIVING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "ORDWAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "720-660-1844",
        "authorized_official_credential": "MSC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Overture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.