Organization Active NPI

Nicoll Holdings, LLC

  • Assisted Living Facility
  • Colorado Springs, CO
National Provider Identifier
1871078907
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
NICOLL HOLDINGS, LLC
Practice address
2204 Oakridge LN
Colorado Springs, CO 80915-1017
Phone
(719) 380-7391
Fax
(719) 487-9530
NPI assigned
Sep 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Mr. Douglas William Nicoll
Title
President/Ceo
Phone
(719) 380-7381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2204 Oakridge LN
Colorado Springs, CO 80915-1017

Mailing address

PO Box 61085
Colorado Springs, CO 80960-1085
Phone (719) 380-7381

Other practice location 1

2402 Woodburn St
Colorado Springs, CO 80906-3324
Phone (719) 380-7381

Other practice location 2

427 W Cheyenne Rd
Colorado Springs, CO 80906-2445
Phone (719) 380-7381

Other practice location 3

19 Loma Linda Dr
Colorado Springs, CO 80906-4312
Phone (719) 380-7381

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1871078907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61085",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809601085",
            "telephone_number": "719-380-7381",
            "fax_number": "719-487-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 OAKRIDGE LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151017",
            "telephone_number": "719-380-7391",
            "fax_number": "719-487-9530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2402 Woodburn St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809063324",
            "country_code": "US",
            "telephone_number": "719-380-7381",
            "fax_number": "719-487-9530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "427 W Cheyenne Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809062445",
            "country_code": "US",
            "telephone_number": "719-380-7381",
            "fax_number": "719-487-9530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Loma Linda Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064312",
            "country_code": "US",
            "telephone_number": "719-380-7381",
            "fax_number": "719-487-9530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICOLL HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "NICOLL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "719-380-7381",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "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 Sep 25, 2018; 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.