JEFF G REYNOLDS (NPI# 1013495993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013495993 |
| Entity Type | Individual |
| Full Name | JEFF G REYNOLDS |
| Practice Address |
11 Westmark Ave Colorado Springs CO 80906-4738 |
| Mailing Address |
2540 Cardigan Dr Colorado Springs CO 80920-5348 |
| Practice Telephone | 7196606826 |
| Practice Fax Number | 7192181010 |
| Mailing Telephone | 7196606826 |
| Mailing Fax Number | 7192181010 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | 23U713 | CO | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | ASSISTED LIVING | 23U713 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831620673 | Jeff David Reynolds Sr. | Counselor | 1803 N Sound Dr, Sedro Woolley, WA 98284-7697 | 2017-03-23 |
| 1477641165 | Jeff C Reynolds | Counselor | 1510 W Ottawa, Paxton, IL 60957 | 2006-10-10 |
| Street Address |
11 WESTMARK AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-4738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023580560 | Constant Care of Colorado Springs, Inc | Assisted Living Facility | 11 Westmark Ave, Colorado Springs, CO 80906-4738 | 2018-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992318026 | Andrew Richardson | Nursing Home Administrator | 5075 Saddle Dr, Colorado Springs, CO 80918-3627 | 2020-08-28 |
| 1376142117 | Garden Ranch LLC | Nursing Home Administrator | 5075 Saddle Dr, Colorado Springs, CO 80918-3627 | 2020-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851875264 | David A Weingardt | Nursing Home Administrator | 6845 Newland St, Arvada, CO 80003-3638 | 2018-09-20 |
| 1154954618 | Casey Leno | Nursing Home Administrator | 5596 W Indore Dr, Littleton, CO 80128-7030 | 2020-02-12 |
| 1891333548 | Leeanne Faulkner | Nursing Home Administrator | 1030 Jay St, Lakewood, CO 80214-2016 | 2019-12-12 |
| 1275085318 | Leesa Blankenship | Nursing Home Administrator | 400 W 16th St, 3rd Floor, Pueblo, CO 81003-2745 | 2016-10-25 |
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
Please comment or provide details below to improve the information on JEFF G REYNOLDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.