NPIMap

Organization Active NPI

El Paso County Community Detox Facility

  • Substance Abuse Rehabilitation Facility
  • Colorado Springs, CO
National Provider Identifier
1922434182
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1658-00 Issued in CO
Legal business name
EL PASO COUNTY COMMUNITY DETOX FACILITY
Practice address
2723 E. Las Vegas St.
Colorado Springs, CO 80906
Phone
(719) 390-2046
Fax
(719) 390-2049
NPI assigned
Sep 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Mr. Imad Karaki
Title
Support Services Director
Phone
(719) 520-6424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1658-00 CO Primary

Addresses

Primary practice location

2723 E. Las Vegas St.
Colorado Springs, CO 80906

Mailing address

2723 E. Las Vegas St.
Colorado Springs, CO 80906
Phone (719) 390-2046

National Provider Directory

National Provider Directory
Tax ID family
El Paso County3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2723 E Las Vegas St
Colorado Springs, CO 80906
Phone (719) 390-2046

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1922434182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 E. LAS VEGAS ST.",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-390-2046",
            "fax_number": "719-390-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 E. LAS VEGAS ST.",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-390-2046",
            "fax_number": "719-390-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO COUNTY COMMUNITY DETOX FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "KARAKI",
        "authorized_official_first_name": "IMAD",
        "authorized_official_title_or_position": "SUPPORT SERVICES DIRECTOR",
        "authorized_official_telephone_number": "719-520-6424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CO",
            "license": "1658-00",
            "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 23, 2013; 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.