GARDEN RANCH LLC NPI 1376142117

NPI Information

NPI: 1376142117
Provider Name: GARDEN RANCH LLC
Classification: Registered Nurse - 163WA2000X
Entity Type: Organization

Specialization: Administrator

Address:
5075 SADDLE DR
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 260-9121
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GARDEN RANCH LLC is an administrator registered nurse in Colorado Springs, CO. GARDEN RANCH LLC NPI is 1376142117. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5075 SADDLE DR
COLORADO SPRINGS, CO
ZIP 80918-627
Phone: (719) 260-9121

The provider's authorized official is Charissa Richardson .
The authorized official title is Owner/administrator and has the following contact phone number (719) 920-0166.

The enumeration date for this NPI number is 10/22/2020 and was last updated on 10/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	376G00000X	Nursing Home Administrator				No
2	163WA2000X	Registered Nurse	Administrator			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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