PARENT CARE LIFE INC DBA CRESTVIEW (NPI# 1104357318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104357318 |
| Entity Type | Organization |
| Organization Name | PARENT CARE LIFE INC DBA CRESTVIEW |
| Practice Address |
1414 N Hancock Ave Colorado Springs CO 80903-2655 |
| Practice Telephone | 7194736339 |
| Practice Fax Number | 7194489301 |
| Mailing Telephone | 7194736339 |
| Mailing Fax Number | 7194489301 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |
| Authorized Official Name | MR. RICKY LEE SIMPSON (ADMINSTRATOR) |
| Authorized Official Telephone | 7194736339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 23F100 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | HCPF PROVIDER ID | 9000143722 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801337118 | Parent Care Life Inc Dba Crestview | Assisted Living Facility | 1414 N Hancock Ave, Colorado Springs, CO 80903-2655 | 2017-03-20 |
| 1750812962 | Parent Care Life Inc Dba Crestview | Assisted Living Facility | 1414 N Hancock Ave, Colorado Springs, CO 80903-2655 | 2017-03-21 |
| Street Address |
1414 N HANCOCK AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801337118 | Parent Care Life Inc Dba Crestview | Assisted Living Facility | 1414 N Hancock Ave, Colorado Springs, CO 80903-2655 | 2017-03-20 |
| 1205367414 | Parent Care Life Inc | Assisted Living Facility | 1414 N Hancock Ave, Colorado Springs, CO 80903-2655 | 2017-03-21 |
| 1750812962 | Parent Care Life Inc Dba Crestview | Assisted Living Facility | 1414 N Hancock Ave, Colorado Springs, CO 80903-2655 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891323374 | A Robins Nest of Cheyenne Mtn. Inc. | Assisted Living Facility | 3182 Oak Creek Dr E, Colorado Springs, CO 80906-4548 | 2020-03-30 |
| 1336782168 | Braincare LLC | Assisted Living Facility | 2535 Brady Dr., Colorado Springs, CO 80917-4020 | 2019-10-24 |
| 1811455371 | Aurora Residential Alternatives, Inc | Assisted Living Facility | 2137 Lander Cir, Colorado Springs, CO 80909-1564 | 2019-03-04 |
| 1427513076 | Constant Care of Colorado Springs, Inc | Assisted Living Facility | 8320 Sutterfield Dr, Colorado Springs, CO 80920-6206 | 2019-02-07 |
| 1871078907 | Nicoll Holdings, LLC | Assisted Living Facility | 2204 Oakridge Ln, Colorado Springs, CO 80915-1017 | 2018-09-25 |
| 1427534627 | Hubbard Property Management Dba Gentle Care House | Assisted Living Facility | 1333 Darby St, Colorado Springs, CO 80907-3704 | 2018-07-11 |
| 1053801712 | Starlight Assisted Living | Assisted Living Facility | 68 Security Blvd, Colorado Springs, CO 80911-1929 | 2018-05-17 |
| 1679089197 | Assisted Living At Spring, LLC | Assisted Living Facility | 1605 Jet Wing Dr, Colorado Springs, CO 80916-2258 | 2017-12-20 |
| 1427569409 | Home Care LLC | Assisted Living Facility | 2501 Bennett Ave, Colorado Springs, CO 80909-1209 | 2017-10-18 |
| 1750808200 | Melody Living Associates, LLC | Assisted Living Facility | 7600 Sand Rock Point, Colorado Springs, CO 80924 | 2017-08-25 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
Please comment or provide details below to improve the information on PARENT CARE LIFE INC DBA CRESTVIEW.
| 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.