NPIMap

Organization Active NPI

Parent Care Life Inc.

  • Adult Care Home Facility
  • Colorado Springs, CO
National Provider Identifier
1790904092
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AL-0310 Issued in CO
Legal business name
PARENT CARE LIFE INC.
Practice address
1410 E Buena Ventura St
Colorado Springs, CO 80909-2825
Phone
(719) 473-6339
Fax
(719) 488-9301
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ricky Lee Simpson
Title
Owner
Phone
(719) 473-6339

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AL-0310 CO Primary
Adult Care Home Facility 311ZA0620X AL-0311 CO

Addresses

Primary practice location

1410 E Buena Ventura St
Colorado Springs, CO 80909-2825

Mailing address

1409 E Buena Ventura St
Colorado Springs, CO 80909-2824
Phone (719) 473-6339

Other identifiers 2

IdentifierTypeStateIssuer
47256362MedicaidCO
24301272MedicaidCO

Other names 1

  • Crestview Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parent Care Life Inc Dba Crestview7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790904092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 E BUENA VENTURA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092824",
            "telephone_number": "719-473-6339",
            "fax_number": "719-488-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 E BUENA VENTURA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092825",
            "telephone_number": "719-473-6339",
            "fax_number": "719-488-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENT CARE LIFE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-473-6339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CO",
            "license": "AL-0310",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CO",
            "license": "AL-0311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47256362",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24301272",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview",
            "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 Aug 22, 2020; 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.