PALISADES I MSL LLC (NPI# 1558612093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558612093 |
| Entity Type | Organization |
| Organization Name | PALISADES I MSL LLC |
| Practice Address |
4547 Palisades Park Vw Colorado Springs CO 80906-8697 |
| Mailing Address |
4 Park Plz Ste 500 Irvine CA 92614-5209 |
| Practice Telephone | 7192262273 |
| Mailing Telephone | 9492421414 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |
| Authorized Official Name | MR. TERRY HINES HOWARD (PRESIDENT) |
| Authorized Official Telephone | 9492421410 |
| Is Organization Subpart | Y |
| Parent Organization Name | MBK SENIOR LIVING |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 23U762 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1407143423 | 05 | |
| UT | 1578850590 | 05 | |
| UT | 1568759488 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Palisades I MSL LLC | 4 Park Plaza, Suite 1700, Irvine, CA 92614 |
| Street Address |
4547 PALISADES PARK VW |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-8697 |
| 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 | 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 | 80906 |
Please comment or provide details below to improve the information on PALISADES I MSL LLC.
| 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.