NPIMap

Organization Active NPI

Family Care Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
National Provider Identifier
1790141984
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FAMILY CARE CENTER, LLC
Practice address
2860 S Circle Dr Ste 109
Colorado Springs, CO 80906-4195
Phone
(719) 540-2100
NPI assigned
Jan 5, 2016
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Christian M Ellis
Title
Provider Engagement & Credentialing
Phone
(719) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

2860 S Circle Dr Ste 109
Colorado Springs, CO 80906-4195

Mailing address

2860 S Circle Dr Ste 109
Colorado Springs, CO 80906-4195
Phone (719) 540-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180109000960 CO Part B Supplier - Clinic/Group Practice 5991064420 Receives reassigned benefits from 469 practitioners
Practice locations: Woodland Park, CO; Parker, CO; Northglenn, CO; Loveland, CO; Louisville, CO; Lone Tree, CO; Littleton, CO; Highlands Ranch, CO…

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2304014Family Care Center2860 South Circle Dr, Suite 400, Colorado Springs, CO 80906Certificate of waiverMay 5, 2028

National Provider Directory

National Provider Directory

Locations

4700 Castleton Way
Ste 200
Castle Rock, CO 80109

1330 Quail Lake Loop
Ste 260
Colorado Springs, CO 80906
Phone (719) 464-6752

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

3715 Parkmoor Village Dr
Colorado Springs, CO 80917
Phone (719) 321-1748

6566 N Marksheffel Rd
#100
Colorado Springs, CO 80923
Phone (719) 297-7646

9524 Federal Dr
Ste 120
Colorado Springs, CO 80921
Phone (719) 394-3352

1525 Raleigh St
Ste 500
Denver, CO 80204
Phone (303) 872-1735

63 N Quebec St
Denver, CO 80230
Phone (720) 414-0810

750 W Hampden Ave
Englewood, CO 80110
Phone (231) 883-5274

13402 W Coal Mine Ave
Littleton, CO 80127
Phone (303) 243-7894

10535 Park Meadows Blvd
Lone Tree, CO 80124
Phone (303) 662-8250

11990 Grant St
Northglenn, CO 80233
Phone (303) 507-8930

11990 Grant St
Ste 101
Northglenn, CO 80233
Phone (303) 537-8152

Practitioners & affiliated clinicians

Practitioners 497

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 497

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1790141984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 S CIRCLE DR STE 109",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064195",
            "telephone_number": "719-540-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S CIRCLE DR STE 109",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064195",
            "telephone_number": "719-540-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER ENGAGEMENT & CREDENTIALING",
        "authorized_official_telephone_number": "719-540-2100"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "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 Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.