NPIMap

Organization Active NPI

Cheyenne Village, Inc.

  • Adult Care Home Facility
  • Colorado Springs, CO
National Provider Identifier
1871622738
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
0620 Issued in CO
Legal business name
CHEYENNE VILLAGE, INC.
Practice address
4270 Pearl Dr # 4280
Colorado Springs, CO 80918-2751
Phone
(719) 536-9763
NPI assigned
Mar 5, 2007
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Ms. Mary L Dice
Title
Cfo
Phone
(719) 572-7447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 0620 CO Primary

Addresses

Primary practice location

4270 Pearl Dr # 4280
Colorado Springs, CO 80918-2751

Mailing address

6275 Lehman Dr
Colorado Springs, CO 80918-1433
Phone (719) 592-0200

National Provider Directory

National Provider Directory
Tax ID family
Cheyenne Village Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1871622738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 LEHMAN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181433",
            "telephone_number": "719-592-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 PEARL DR # 4280",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182751",
            "telephone_number": "719-536-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "DICE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-572-7447",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CO",
            "license": "0620",
            "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 Jul 15, 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.