Organization Active NPI

Interim Healthcare of Fort Collins, Inc.

  • Custodial Care Facility
  • Fort Collins, CO
National Provider Identifier
1861082596
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
INTERIM HEALTHCARE OF FORT COLLINS, INC.
Practice address
2000 Vermont Dr Ste 100
Fort Collins, CO 80525-2900
Phone
(970) 472-4181
Fax
(970) 472-4183
NPI assigned
Jan 26, 2021
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
INTERIM HEALTHCARE OF FORT COLLINS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Cynthia Jane Ringling
Title
Chief Clinical Officer
Phone
(719) 632-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

2000 Vermont Dr Ste 100
Fort Collins, CO 80525-2900

Mailing address

2000 Vermont Dr Ste 100
Fort Collins, CO 80525-2900
Phone (970) 472-4181

Other identifiers 1

IdentifierTypeStateIssuer
85431290MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare of Fort Collins Inc3 organizations share this tax ID, including this one
Part of
Interim Healthcare of Fort Collins Inc

Other organizations with this tax ID 2

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

Locations

2000 Vermont Dr
Ste 100
Fort Collins, CO 80525
Phone (970) 472-4180

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1861082596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VERMONT DR STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252900",
            "telephone_number": "970-472-4181",
            "fax_number": "970-472-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VERMONT DR STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252900",
            "telephone_number": "970-472-4181",
            "fax_number": "970-472-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF FORT COLLINS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERIM HEALTHCARE OF FORT COLLINS, INC.",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "RINGLING",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "719-632-9900"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85431290",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.