ASSISTED LIVING AT SPRING, LLC (NPI# 1679089197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679089197 |
| Entity Type | Organization |
| Organization Name | ASSISTED LIVING AT SPRING, LLC |
| Practice Address |
1605 Jet Wing Dr Colorado Springs CO 80916-2258 |
| Mailing Address |
Po Box 274 Parker CO 80134-0274 |
| Practice Telephone | 7194347042 |
| Practice Fax Number | 7194348580 |
| Mailing Telephone | 7209344950 |
| Mailing Fax Number | 7204201322 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |
| Authorized Official Name | MR. CHANDRA SETIAWAN SIAUW (ADMINISTRATOR) |
| Authorized Official Telephone | 7209344950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 23D512 | CO | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Assisted Living At Spring, LLC | 1605 Jet Wing Dr, Colorado Springs, CO 80916-2258 |
| Street Address |
1605 JET WING DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80916-2258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740742022 | Andrea Corrie Akins | Counselor | 2060 Jet Wing Drive, Colorado Springs, CO 80916 | 2019-04-04 |
| 1538687454 | Loma Randie Haak | Doula | 2160 Bruno Cir, Colorado Springs, CO 80916 | 2017-08-30 |
| 1013463868 | Statewide Healthcare LLC | In Home Supportive Care | 2130 S. Academy Blvd., #103, Colorado Springs, CO 80916 | 2016-08-31 |
| 1437573557 | Carla Jackson | Contractor | 3410 Cochran Dr # C, Colorado Springs, CO 80916 | 2014-02-10 |
| 1346385986 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 2322 S. Academy Blvd., Colorado Springs, CO 80916 | 2007-02-21 |
| 1457379893 | Charlene Kay Czarnecki | Nurse Practitioner | 3029 So Academy Blvd, Colorodo Springs, CO 80916 | 2006-07-17 |
| 1952337206 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 2910 S Academy Blvd, Colorado Springs, CO 80916 | 2006-06-25 |
| 1629599758 | Amanda M Bernheim | Counselor | 1795 Jet Wing Dr, Colorado Springs, CO 80916 | 2017-06-28 |
| 1710366166 | Cassandra Bright | Dental Hygienist | 5925 Lehman Dr, Colorado Springs, CO 80916 | 2015-05-19 |
| 1992042626 | Erica Palmer | Psychologist | 1795 Jet Wing Dr, Colorado Springs, CO 80916 | 2013-01-15 |
| Find all providers in zip 80916 | ||||
| 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 |
| 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 |
| 1487183703 | Solange Highland Park | Assisted Living Facility | 2107 Princeton Way, Colorado Springs, CO 80909-2043 | 2017-06-09 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80916 |
Please comment or provide details below to improve the information on ASSISTED LIVING AT SPRING, 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.