SANDSTONE CARE COS, LLC (NPI# 1023591104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023591104 |
| Entity Type | Organization |
| Organization Name | SANDSTONE CARE COS, LLC |
| Practice Address |
5250 Pikes Peak Hwy Cascade CO 80809-1110 |
| Mailing Address |
7555 E Hampden Ave Ste 103 Denver CO 80231-4832 |
| Practice Telephone | 8888501890 |
| Mailing Telephone | 7203721490 |
| Mailing Fax Number | 8888501860 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2019-10-28 |
| Authorized Official Name | MARCELLO LA ROCCA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7203721490 |
| Authorized Official Credential | BA |
| Is Organization Subpart | Y |
| Parent Organization Name | SANDSTONE CARE COS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933135 | Sandstone Care Cos, LLC | Clinic/Center | 5731 N Academy Blvd, Colorado Springs, CO 80918-3684 | 2020-05-12 |
| 1518453273 | Sandstone Care Cos, LLC | Clinical Medical Laboratory | 2102 University Park Blvd, Colorado Springs, CO 80918-3678 | 2018-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Sandstone Care COS, LLC | 7555 East Hampden Avenue, Suite 103, Denver, CO 80231 |
| Street Address |
5250 PIKES PEAK HWY |
| City | CASCADE |
| State | CO |
| Zip Code | 80809-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295903045 | Southern Colorado Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 | 2008-02-14 |
| 1114378858 | Cindy Montgomery | Counselor | 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 | 2016-06-23 |
| 1871943548 | Theresa Lawrence | Counselor | 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 | 2016-06-14 |
| 1265881106 | Margaret Doherty | Counselor | 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 | 2016-06-10 |
| 1154590487 | Charles Jay Stephens | Family Medicine | 5250 Pikes Peak Hwy, Cascade, CO 80809-1110 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154733558 | Shadow Mountain LLC. | Substance Abuse Rehabilitation Facility | 5250 Pikes Peak Highway, Cascade, CO 80809 | 2014-05-20 |
| 1912162488 | Kara Anne Niewohner | Speech-Language Pathologist | 2210 Lelaray St, Colorado Springs, CO 80809 | 2008-07-24 |
| 1982898664 | Erik Struck | Chiropractor | 9910 Mohawk Trl, Cascade, CO 80809-1611 | 2007-09-05 |
| 1154562023 | Back and Neck Care Center of Colorado Springs | Chiropractor | 9910 Mohawk Trl, Cascade, CO 80809-1611 | 2009-03-23 |
| 1609419985 | Andrea Lynn Houk | Registered Nurse | 7855 Marriott Rd, Cascade, CO 80809-1726 | 2019-10-19 |
| 1699225201 | Carlye Spaulding | Nurse Anesthetist, Certified Registered | 4680 Mariposa Ln, Cascade, CO 80809-1807 | 2016-10-06 |
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659777852 | Karan Steuart | Substance Abuse Rehabilitation Facility | 3660 W Princeton Cir, Denver, CO 80236-3109 | 2014-11-15 |
| 1811241151 | Fire Mountain Residential Treatment Center, Inc. | Substance Abuse Rehabilitation Facility | 5532 Us Highway 36, Estes Park, CO 80517-8834 | 2012-11-08 |
| 1528292521 | Judy M Lansing | Substance Abuse Rehabilitation Facility | 296 Mouache Dr., Ignacio, CO 81137-0429 | 2009-05-06 |
| 1376940528 | Peer 1 | Substance Abuse Rehabilitation Facility | 3762 W Princeton Cir, Denver, CO 80236-3110 | 2014-12-02 |
| 1235542358 | Nicole Nees | Substance Abuse Rehabilitation Facility | 614 Mathews St, Fort Collins, CO 80524-3012 | 2014-06-05 |
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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.