Individual provider Active NPI

Andrew Richardson

  • Nursing Home Administrator
  • Colorado Springs, CO
National Provider Identifier
1992318026
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
230557 Issued in CO
Practice address
5075 Saddle Dr
Colorado Springs, CO 80918-3627
Phone
(719) 260-9121
Fax
(719) 260-9122
NPI assigned
Aug 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X 230557 CO Primary

Addresses

Primary practice location

5075 Saddle Dr
Colorado Springs, CO 80918-3627

Mailing address

7640 Autumn Knoll Dr
Colorado Springs, CO 80922-2101
Phone (719) 260-9121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gardenranchassistedliving@outlook.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
230557COMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Garden Ranch LLC Nursing Home Administrator CurrentSince Oct 25, 2020 Accepting new patients

Locations

5075 Saddle Dr
Colorado Springs, CO 80918
Phone (719) 260-9121

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1992318026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 AUTUMN KNOLL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222101",
            "telephone_number": "719-260-9121",
            "fax_number": "719-260-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 SADDLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183627",
            "telephone_number": "719-260-9121",
            "fax_number": "719-260-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CO",
            "license": "230557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gardenranchassistedliving@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email address with encryption",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5075 Saddle Dr",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809183627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 28, 2020; 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.