INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC (NPI# 1023512613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023512613 |
| Entity Type | Organization |
| Organization Name | INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC |
| Other Organization Name | PARKMOOR VILLAGE HEALTHCARE CENTER |
| Practice Address |
3625 Parkmoor Village Dr Colorado Springs CO 80917-5205 |
| Mailing Address |
12136 W Bayaud Ave Ste 200 Lakewood CO 80228-2115 |
| Practice Telephone | 7195500200 |
| Practice Fax Number | 7196370756 |
| Mailing Telephone | 3032383838 |
| Mailing Fax Number | 3039870434 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-03-20 |
| Authorized Official Name | MARY KORETKE (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 7209746278 |
| Is Organization Subpart | Y |
| Parent Organization Name | INTEGRATED HEALTH SERVICES AT COLORADO SPRINGS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 020542 | CO | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Parkmoor Village Healthcare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944135 | Integrated Health Services At Colorado Springs Inc | Skilled Nursing Facility | 3625 Parkmoor Village Dr, Colorado Springs, CO 80917-5205 | 2005-07-07 |
| 1043670185 | Integrated Health Services At Colorado Springs Inc | Skilled Nursing Facility | 3625 Parkmoor Village Dr, Colorado Springs, CO 80917-5205 | 2016-03-02 |
| Street Address |
3625 PARKMOOR VILLAGE DR |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944135 | Integrated Health Services At Colorado Springs Inc | Skilled Nursing Facility | 3625 Parkmoor Village Dr, Colorado Springs, CO 80917-5205 | 2005-07-07 |
| 1124534250 | Samantha Conrad | Speech-Language Pathologist | 3625 Parkmoor Village Dr, Colorado Springs, CO 80917-5205 | 2017-12-27 |
| 1023529112 | Melissa Drake Hutchinson | Occupational Therapy Assistant | 3625 Parkmoor Village Dr, Colorado Springs, CO 80917-5205 | 2017-10-17 |
| 1831547934 | Taylor Meek | Speech-Language Pathologist | 3625 Parkmoor Village Dr, Colorado Springs, CO 80917-5205 | 2016-05-30 |
| 1043670185 | Integrated Health Services At Colorado Springs Inc | Skilled Nursing Facility | 3625 Parkmoor Village Dr, Colorado Springs, CO 80917-5205 | 2016-03-02 |
| 1760700728 | Nathalie Crawford | Dietitian, Registered | 3625 Parkmoor Village Dr, Colorado Springs, CO 80917-5205 | 2010-05-13 |
| 1093727430 | Nancy T. Dassoff | Psychologist | 3625 Parkmoor Village Dr, Colorado Springs, CO 80917-5205 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114392743 | Pikes Peak Healthcare, Inc. | Skilled Nursing Facility | 2818 Grand Vista Cir, Colorado Springs, CO 80904-5242 | 2015-12-08 |
| 1659790202 | Center At Centennial, LLC | Skilled Nursing Facility | 9208 Grand Cordera Parkway, Colorado Springs, CO 80924 | 2014-04-10 |
| 1316297559 | Ahc of Colorado Springs, LLC | Skilled Nursing Facility | 55 South Parkside Drive, Colorado Springs, CO 80909 | 2012-09-14 |
| 1669660098 | Kimberly O'connor | Skilled Nursing Facility | 698 Johanne Pl Apt A, Colorado Springs, CO 80906-6425 | 2007-10-10 |
| 1801016688 | Sunny Vista Living Center | Skilled Nursing Facility | 2400 E Cache La Poudre, Colorado Springs, CO 80909-4813 | 2007-04-26 |
| 1659427482 | Beneficial Living Systems | Skilled Nursing Facility | 2612 W Cucharras St, Colorado Springs, CO 80904-3031 | 2007-01-26 |
| 1376699496 | Beneficial Living Systems | Skilled Nursing Facility | 104 Lois Ln, Colorado Springs, CO 80904-1320 | 2007-01-25 |
| 1356415442 | St Francis Nursing Center | Skilled Nursing Facility | 7550 Assisi Hts, Colorado Springs, CO 80919-3853 | 2006-11-20 |
| 1316050156 | Catholic Health Initiatives Colorado | Skilled Nursing Facility | 1719 E Bijou St, Colorado Springs, CO 80909-5736 | 2006-08-16 |
| 1932120680 | Volunteers of America Care Facilities | Skilled Nursing Facility | 920 S Chelton Rd, Colorado Springs, CO 80910-2311 | 2006-07-21 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
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| 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.