Tammy and Marty's Cozy Adult Care Home II LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL-0048 Issued in CO

Legal business name

TAMMY AND MARTY'S COZY ADULT CARE HOME II LLC

Practice address

523 W Cokedale Dr
Pueblo West, CO 81007-5117

Phone

(719) 566-1189

Fax

(719) 566-1189

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Martin Redmond

Title

Owner Operator

Phone

(719) 566-1189

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952503708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 W COKEDALE DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075117",
            "telephone_number": "719-566-1189",
            "fax_number": "719-566-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 W COKEDALE DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075117",
            "telephone_number": "719-566-1189",
            "fax_number": "719-566-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMY AND MARTY'S COZY ADULT CARE HOME II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "719-566-1189",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL-0048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.