E. DAWN MARTIN CACIII LLC (NPI# 1689060451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689060451 |
Entity Type | Organization |
Organization Name | E. DAWN MARTIN CACIII LLC |
Other Organization Name | RECOVERY UNLIMITED |
Practice Address |
112 Iowa Ave Ste 4 Colorado Springs CO 80909-5947 |
Mailing Address |
112 Iowa St #4 Colorado Springs CO 80909 |
Practice Telephone | 7193587338 |
Practice Fax Number | 8442732340 |
Mailing Telephone | 7193587338 |
Mailing Fax Number | 8442732340 |
Enumeration Date | 2015-04-08 |
Last Update Date | 2020-09-16 |
NPI Deactivation Date | 03/28/2016 |
NPI Reactivation Date | 2017-04-28 |
Authorized Official Name | MRS. ELIZABETH DAWN MARTIN (OWNER/) |
Authorized Official Telephone | 7199308801 |
Authorized Official Credential | CACIII |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1730-03 | CO | Ambulatory Health Care Facilities |
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1730-01 | CO | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Recovery Unlimited | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
2105 E Bijou St Ste B, Colorado Springs, CO 809095955 | 7194730672 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912341504 | E. Dawn Martin Caciii LLC | Clinic/Center | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909 | 2013-04-25 |
Street Address |
112 IOWA AVE STE 4 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80909-5947 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033404850 | Elizabeth Dawn Martin | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2011-06-09 |
1447813324 | Donnie Fennimore | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2019-04-17 |
1871156869 | Emily Thorne | Social Worker | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2019-04-16 |
1962975813 | Michael Elden Hillstrom | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2019-01-03 |
1912478272 | Jannette Gonzalez | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2018-12-16 |
1801365887 | Brittany Danielle Mccarthy | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2018-11-19 |
1093218216 | Jessica Lynn Blount | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2018-03-14 |
1417460916 | Jessica Michelle Malsam | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2017-11-07 |
1568975076 | Jonathan L Fagerholm | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909-5947 | 2017-11-07 |
1528410875 | Leah Harris | Counselor | 112 Iowa Ave Ste 4, Colorado Springs, CO 80909 | 2016-07-11 |
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---|---|---|---|---|
1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
Find all providers in zip 80909 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457846685 | E Dawn Martin Caciii LLC | Clinic/Center | 2105 E Bijou St, Colorado Springs, CO 80909-5954 | 2018-06-29 |
1205326428 | E Dawn Martin Caciii LLC | Clinic/Center | 2105 E Bijou St Ste B, Colorado Springs, CO 80909-5955 | 2018-05-14 |
1902357551 | Peaks Recovery Services | Clinic/Center | 5475 Mark Dabling Blvd Ste 102, Colorado Springs, CO 80918-3847 | 2016-10-19 |
1659307312 | Valley Hope Association | Clinic/Center | 888 Garden of The Gods Rd, Ste 101, Colorado Springs, CO 80907-9437 | 2006-06-24 |
1023620440 | Peer Coach Academy Colorado | Clinic/Center | 1102 S 21st St, Colorado Springs, CO 80904-3708 | 2020-08-18 |
1487263489 | Aspenridge Colorado Springs LLC | Clinic/Center | 2860 S Circle Dr Ste G30a, Colorado Springs, CO 80906-4113 | 2020-07-24 |
1528603008 | Aspenpointe, Inc. Dba Aspenpointe Health Services | Clinic/Center | 1795 Jet Wing Dr, Colorado Springs, CO 80916-2332 | 2019-11-08 |
1801431382 | Aspenpointe Inc Dba Aspenpointe Health Services | Clinic/Center | 179 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2019-11-08 |
1427693902 | Aspenpointe Inc. Dba Aspenpointe Health Services | Clinic/Center | 220 Ruskin Dr, Colorado Springs, CO 80910-2522 | 2019-11-08 |
1376188847 | Aspenpointe Inc Dba Health Services | Clinic/Center | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2019-11-08 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80909 |
Please comment or provide details below to improve the information on E. DAWN MARTIN CACIII 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.