NPIMap

Organization Active NPI

SSC Colorado Springs Colonial Columns Operating Company LLC

  • Respite Care
  • Colorado Springs, CO
National Provider Identifier
1871080168
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
SSC COLORADO SPRINGS COLONIAL COLUMNS OPERATING COMPANY LLC
Doing business as
Colonial Columns Nursing Center
Practice address
1340 E Fillmore St
Colorado Springs, CO 80907-6433
Phone
(719) 473-1105
Fax
(719) 473-0495
NPI assigned
Apr 23, 2018
Organization subpart
Yes
Parent organization
SSC COLORADO SPRINGS COLONIAL COLUMNS OPERATING COMPANY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Ken Pitts
Title
Director Reimbursement
Phone
(832) 467-6793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X CO Primary

Addresses

Primary practice location

1340 E Fillmore St
Colorado Springs, CO 80907-6433

Mailing address

5300 W Sam Houston Pkwy N Ste 100
Houston, TX 77041-5162
Phone (832) 467-6000

Other identifiers 1

IdentifierTypeStateIssuer
9000160088MedicaidCO

Other names 1

  • Colonial Columns Nursing Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SSC Colonial Columns CS Operating LLC2 organizations share this tax ID, including this one
Part of
SSC Colonial Columns CS Operating LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1871080168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W SAM HOUSTON PKWY N STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415162",
            "telephone_number": "832-467-6000",
            "fax_number": "832-467-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 E FILLMORE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076433",
            "telephone_number": "719-473-1105",
            "fax_number": "719-473-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC COLORADO SPRINGS COLONIAL COLUMNS OPERATING COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SSC COLORADO SPRINGS COLONIAL COLUMNS OPERATING COMPANY LLC",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "DIRECTOR REIMBURSEMENT",
        "authorized_official_telephone_number": "832-467-6793"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000160088",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Columns Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colonial Columns Nursing Center",
            "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 Apr 23, 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.