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CHEYENNE VILLAGE INC. NPI 1821127861


NPI Information

NPI: 1821127861
Provider Name: CHEYENNE VILLAGE, INC.
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 06D2228396

Address:
183 CRYSTAL PARK RD
MANITOU SPRINGS, CO
ZIP 80829
Phone: (719) 685-5257
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CHEYENNE VILLAGE, INC. is an adult care home custodial care facility in Manitou Springs, CO. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. CHEYENNE VILLAGE, INC. NPI is 1821127861. The provider is registered as an organization entity type.

The provider's business location address is:

183 CRYSTAL PARK RD
MANITOU SPRINGS, CO
ZIP 80829-651
Phone: (719) 685-5257

The provider's authorized official is B Jeanne Solze .
The authorized official title is Business Director and has the following contact phone number (719) 592-0200.

The CLIA number assigned to this NPI record is 06D2228396 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care Home0607COLORADOYes

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

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