SL Liberty Heights LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0635 Issued in CO

Legal business name

SL LIBERTY HEIGHTS LLC

Practice address

12205 Gunstock Drive
Colorado Springs, CO 80921-3624

Phone

(719) 481-5207

Fax

(719) 481-5035

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Nikki Kyle

Title

A/R Coordinator

Phone

(719) 481-5207

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1912942251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 GUNSTOCK DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80921",
            "telephone_number": "719-481-5207",
            "fax_number": "719-481-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 GUNSTOCK DRIVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213624",
            "telephone_number": "719-481-5207",
            "fax_number": "719-481-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL LIBERTY HEIGHTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "KYLE",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "A/R COORDINATOR",
        "authorized_official_telephone_number": "719-481-5207"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Marie Skoog, M.S. CCC-SLP
• Samantha Lousie Skottegaard
• Margaret Skowronski, MA-CCC/SLP
• Tina Mira Skrabo, LPC
• Skylight Health Group Co LLC
• Christina Marie Slabaugh, RPH
• Neill Curtis Slack, D.D.S.
• Thomas D Slack, D.D.S.
• Beth Slater, DC
• Carrie Lei Slavens, LPC

• Skilled Nursing Facility in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.