EAGLES NEST RETREAT, INC


Address: 6295 Lehman Dr, Suite 102, Colorado Springs, CO 80918-1473
Phone: 7195937754

EAGLES NEST RETREAT, INC (NPI# 1083854780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083854780
Entity Type Organization
Organization Name EAGLES NEST RETREAT, INC
Practice Address 6295 Lehman Dr
Suite 102
Colorado Springs
CO 80918-1473
Practice Telephone 7195937754
Mailing Telephone 7195937754
Enumeration Date 2009-02-20
Last Update Date 2009-02-20
Authorized Official Name DR. JOHN GOWINS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7195937754
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 3608 CO Agencies

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities EAGLES NEST RETREAT, INC. 680 2nd Street, Ouray, CO 81427

Office Location

Street Address 6295 LEHMAN DR
SUITE 102
City COLORADO SPRINGS
State CO
Zip Code 80918-1473

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417152679 John Joseph Gowins Counselor 6295 Lehman Dr, B102, Colorado Springs, CO 80918-1473 2007-06-18
1336620988 Rachel Lightfoot Dietitian, Registered 6295 Lehman Dr, Colorado Springs, CO 80918-1473 2018-08-22

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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NPI Name Taxonomy Address Enumeration
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1245891688 New Heights Counseling Services LLC Community/Behavioral Health 2790 N Academy Blvd Ste 347, Colorado Springs, CO 80917-5328 2019-06-26
1558920538 Barber Family Counseling Community/Behavioral Health 5373 N Union Blvd Ste 203, Colorado Springs, CO 80918-2073 2019-06-12
1114583572 Higher Peaks Counseling, LLC Community/Behavioral Health 703 N Tejon St Ste B, Colorado Springs, CO 80903-1050 2019-05-11
1467927178 Child Community Services Community/Behavioral Health 2175 Academy Cir Ste 1, Colorado Springs, CO 80909-1695 2018-10-09
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Competitor

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City COLORADO SPRINGS
Zip Code 80918

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Dataset Information

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.

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