NPIMap

Organization Active NPI

Interim Healthcare of Southeastern Colorado, Inc.

  • Custodial Care Facility
  • Pueblo, CO
National Provider Identifier
1992396626
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO, INC.
Practice address
720 N. Main St.
Ste. 400
Pueblo, CO 81003-3048
Phone
(719) 202-0036
Fax
(719) 202-4304
NPI assigned
Jan 26, 2021
Organization subpart
Yes
Parent organization
INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Cynthia Jane Ringling
Title
Chief Clinical Officer
Phone
(719) 632-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

720 N. Main St.
Ste. 400
Pueblo, CO 81003-3048

Mailing address

720 N. Main St.
Ste. 400
Pueblo, CO 81003-3048
Phone (719) 202-0036

Other identifiers 1

IdentifierTypeStateIssuer
09106235MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare7 organizations share this tax ID, including this one
Part of
Interim Healthcare

Other organizations with this tax ID 6

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": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1992396626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N. MAIN ST.",
            "address_2": "STE. 400",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033048",
            "telephone_number": "719-202-0036",
            "fax_number": "719-202-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N. MAIN ST.",
            "address_2": "STE. 400",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033048",
            "telephone_number": "719-202-0036",
            "fax_number": "719-202-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO, INC.",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "RINGLING",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "719-632-9900"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09106235",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.